Name |
Diagnostic Criteria for ABPA |
1977, Rosenberg-Patterson Criteria [15, 16] |
Major Criteria: (1) asthma, (2) presence of fleeting or fixed pulmonary opacities on chest radiograph, (3) immediate cutaneous hypersensitivity reaction to Af, (4) total serum IgE elevated, more than 1000 IU/mL, (5) precipitating antibodies against Af, (6) peripheral blood eosinophilia, (7) central or proximal bronchiectasis with normal tapering of distal bronchi |
Minor Criteria: (1) golden brown sputum plugs in expectorant, (2) positive sputum culture for aspergillus species, (3) late (arthus-type) skin reactivity to Af |
1999, ABPA in CF [19] |
Presence of two out of following three: (1) immediate cutaneous hypersensitivity reaction to Af, (2) presence of precipitating antibodies to Af, (3) elevated total IgE levels more than 1000 IU/mL |
Plus at least two of following six: (1) bronchoconstriction, (2) eosinophil count more than 1000/μL, (3) history of pulmonary opacities on chest radiograph, (4) elevated IgE or IgG antibodies to Af, (5) Af in sputum smear or sputum culture, (6) response to steroids |
2002, Minimum Essential Criteria [20] |
Criteria: (1) asthma, (2) immediate cutaneous hypersensitivity reaction to Af, (3) total serum IgE elevated more than 1000 ng/mL (417 kU/L), (4) elevated IgE and IgG antibodies to Af, (5) CB in absence of distal bronchiectasis |
2012, Minimum Criteria and Additional Criteria [4] |
Minimum Criteria: (1) patients with asthma or cystic fibrosis, (2) worsening lung function, (3) positive skin prick test with aspergillus species, (4) total serum IgE greater than 1000 ng/mL (416 IU/mL), (5) increased aspergillus species-specific IgE and IgG antibodies, (6) infiltrates noted on chest radiography |
Additional Criteria: (1) increase in serum eosinophilia when the patient is not on corticosteroids ( more than 400 eosinophils/μL), (2) aspergillus species-specific precipitating antibodies, (3) central bronchiectasis, (4) aspergillus species-specific containing mucus plugs |
2013, Truly Minimal Criteria [21] |
Criteria: (1) asthma, (2) immediate cutaneous hypersensitivity reaction to Af, (3) total serum IgE elevated more than 1000 ng/mL (417 kU/L), (4) CB in absence of distal bronchiectasis |
2013, ISHAM Working Group [22] |
Predisposing Conditions: (1) asthma, (2) CF |
Obligatory Criteria (both need to be present): (1) type I aspergillus skin test positive (immediate cutaneous hypersensitivity reaction to Af) or elevated IgE levels against Af, (2) elevated total IgE levels more than 1000 IU/mL (unless all other criteria is met, then total IgE levels can be less than 1000 IU/mL) |
Other Criteria (two out of three at least): (1) presence of IgG antibodies against Af or precipitating antibodies, (2) presence of fleeting or fixed pulmonary opacities on chest radiograph consist with ABPA, (3) eosinophil count more than 500 cells/μL in steroid naïve patient (may be a historical value) |