Division of Pulmonary, Critical Care & Sleep Medicine

Kamyar Afshar, DO

Associate Professor of Medicine
Director, Advanced Lung Disease


Clinical and Investigative Interests

  • Evaluation and management of lung transplantation
  • Alpha 1 antitrypsin deficiency/COPD and advanced stages management
  • Sarcoidosis, lymphangioleiomyomatosis and Interstitial Lung Disease management
  • Phenotypic variance in cystic fibrosis

Selected Publications

  1. Afshar K, Mundi M. Medical Image: Tuberculosis Verrucosa Cutis. Mayo Clin Proc. December 2004; 79(12):1562
  2. Shigemitsu H and Afshar K. Nocturnal Asthma. Curr Opin of Pulm Med 2007 Jan;13(1):49-55
  3. Shigemitsu H and Afshar, K. Aspiration Pneumonia: Underdiagnosed and undertreated. Curr Opin of Pulm Med 2007;13(3):192-198
  4. Afshar K, Alalawi R, Boylen CT. Case report: Micronodular Pulmonary Pattern for Metastatic Medullary Thyroid Cancer. JNMA (Journal of National Medical Association) May 2007; 99(5): 575-577
  5. Afshar K, Vucinic V, Sharma OP. Eosinophil cell: Pray tell us what to do! Invited review for Curr Opin of Pulm Med 2007; 13: 414-421
  6. Morris A, Wei K, Afshar K, Huang L. Epidemiology and Clinical Significance of Pneumocystis Colonization. J Infect Dis 2008;197:10-17
  7. Afshar K, Sharma OP. Interstitial Lung Diseases: Trails and tribulations. Curr Opin Pulm Med 2008;14:427-433
  8. Iyer S, Afshar K, Sharma OP. Peritoneal and pleural sarcoidosis an unusual association: review and clinical report. Curr Opin Pulm Med 2008;14:481-487
  9. Afshar K, Boyd-King A, Sharma OP. Case report: Primary pleural coccidioidomycosis. Journal of Medical Case Reports 2008;2:291
  10. Afshar K, Engelfried K, Sharma OP. Sarcoidosis: A rare case of Kleine-Levin-Critchley Syndrome. Sarcoidosis Vasculitis and Diffuse Lung Diseases 2008;25:60-63
  11. Afshar K, Weill D, Valentine V, Dhillon GS. Outcomes following Double Lung and Heart-Lung Transplantation for Pulmonary Hypertension: Analysis of UNOS Database (Abstract). The Journal of Heart and Lung Transplantation 2009;28:S310-S311
  12. Afshar K, BoydKing A. Pharmacotherapy of systemic sclerosis: Focus on Bosentan. Clinical Medicine: Therapeutics 2009;1:253-262
  13. Afshar K, BoydKing A; Sharma OP, Shigemitsu H. Gastric sarcoidosis and Review of the Literature. J Natl Med Assoc 2010;102:419-422
  14. Afshar K, Cunningham M, Barbers RG, McFadden M. Pericardial Constriction following Lung Transplantation. Ann Thorac Surg 2010; 90(4):1361-1363
  15. Afshar K, Patel V, Forrester K, Rao AP, Ganesh S. Use of Foscarnet Therapy for EBV-associated PTLD Following Lung Transplantation.  Journal of Transplantation 2011, Article ID 919651
  16. Afshar K. Time to Lung Transplantation: Lung Allocation Score and Other       Factors. Editorial. J Pulm Resp Med 2012,2:e110
  17. Afshar K, BoydKing A, Ganesh S, Herrington C, McFadden PM.  Rapidly fatal disseminated acanthamoebiasis in a single lung transplant recipient. Ann Transplant 2013; 18:108-111
  18. Shigemitsu H, Saleh S, Sharma OP, Afshar K. Colonic sarcoidosis responds to methotrexate: A case report with review of literature. J Pulm Respipr Med 2013;3:148.
  19. Afshar K, Ahoui A, Benitez DS, Rao AP. Catheter-associated venous thromboembolism in patientss with cystic fibrosis. J Pulm Respir Med 2013;3:143
  20. Afshar K, Orjioke N, Whelan TM. Medical complications in lung transplant recipients with pulmonary fibrosis. J Pulm Respir Med 2013;3:145
  21. Afshar K. Treatments based on phenotypic variants in chronic obstructive pulmonary disease. J Pul Respir Med 2013;3:4
  22. Afshar K. Management startegies in sarcoidosis: Why short-term Prednisone monotherapy is simply not enough. J Pulm Respipr Med 2014;4:4
  23. Afshar K. Future Direction of Immunosuppression in Lung Transplantation. Curr opin Organ Transplant 2014;19: 583-590
  24. Kakal K, Lubman R, Afshar K. Why dyspnea is not just dyspnea. ATS Clinical Cases
  25. Afshar K, Walsma K, Hogarth K. Alpha 1-Antirypsin Deficiency: Rule It Out. ATS Clinical Pearls
  26. Hill C, Maxwell B, Boulate D, Haddad F, Ha R, Afshar K, Weill D, Dhilon G. Heart-lung vs. double lung transplantation for idiopathic pulmonary arterial hypertension. Clin Transplant 2015: doi: 10.1111/ctr.12628

Book Chapters

  1. Afshar K, Falk J, Chaux. Lung Transplantation: Perioperative Management and Principles. Medical Management of the Thoracic Surgery Patient. First edition. Elsevier Health Sciences, Phildelphia, PA, pp 329-334, September 2009
  2. Afshar K, Barbers R. Lung Transplant and Interstitial Lung Disease. Clinical Focus on Interstitial Lung Disease. First Edition, Jaypee Brothers Medical Publishing Ltd. New Dehli, India 2012, pp 436-451
  3. Afshar K. Syndromes of Hypersensitivity Pneumonitis. Clinical Focus on  Hypersensitivity Pneumonitis. First Edition, Jaypee Brothers Medical Publishing Ltd. New Dehli, India. 2012 pp 92-115
  4. Afshar K, Tchen Y. Creating a Culture of Collective Responsibility and
  5. Accountability to Patient Care Using an Interdisciplinary Approach to Improve Hospital Acquired Infections. Integrating Quality and Strategic Planning in Health Care Organizations. Jones and Bartlett Learning, LLC. Burlington, MA. 2012 pp 249-251
  6. Afshar K, Rao AP, McFadden PM. Pulmonary Complications following Solid Organ Transplantation. Lung Involvment in Non-Pulmonary Disorders.

Abstracts

  1. Afshar K, Escalant P, Saleh S, Aye SS, Valdez K, Hodges T, Morris A. Pneumocystis Colonization in Lung Trasnplant Recipients. American Thoracic Society. Toronto, Canada. May, 2008.
  2. Afshar K, Yeboah J, Iyer S, Beringer P, Rao AP. Stratification of CF patients based on severity of airflow obstruction and body mass index with rate of hospitalization. North American Cystic Fibrosis Conference. Orlando, FL October, 2008
  3. Owens, HM, BoydKing A, Afshar K, Rao AP, Beringer P. The effects od doxycycline on sputum biomarkers of inflammation and airway remodeling in patients with cystic fibrosis. American College of Clinical Pharmacy. October 2009
  4. Low S, Benitez D, Evangelista L, Modi A, Ahoui A, Balekian A, Afshar K and Rao AP. Utilization of  a nutritional and psychological algorithm to improve BMI in patients with cystic fibrosis. North American Cystic Fibrosis Conference. Baltimore, MD October, 2010
  5. Iyer S, Afshar K, Beringer P, and Rao AP.The Effect of Scedosporium Apiospermum on Decline in FEV1 in Patients with Cystic Fibrosis. North American Cystic Fibrosis Conference. Baltimore, MD October, 2010
  6. Ahoui A; Rao AP; Fukushima L; Benitez D; Afshar K. Central Catheter Associated Thromboembolism in CF Patients. North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  7. Afshar K; Modi A, Gould MK; Yao L; Fukushima L; Rao AP. Outcomes of Adult CF Patients with Pandemic H1N1. North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  8. Rakhshan E; Fukushima L; Benitez D; Borok Z; Rao AP; Afshar K. Quality improvement: Role of pre printed orders. North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  9. Orjioke N; Yao L; Gould MK; Rao AP, Afshar K, McFadden PM. Predictors of Morbidity in the first year following LungTransplantation in Patients with Cystic Fibrosis. CHEST 2011;140:461A
  10. Benitez D; Fukushima L; Delgado E; Afshar K; Rao AP. I’m Late, I’m Late for a Very Important Date: A Patient Satisfaction Survey of the Mobilaire Compressor. North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  11. Fukushima L; Evangelista L; Rao AP; Afshar K. Do Adults with Cystic Fibrosis have Neurocognitive Impairment? North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  12. Afshar K, Evangelista L, Balekian A, Fukushima L; Delgado E; Rao AP. Effects of Insurance, Income and Education in Patients with CF. North American Cystic Fibrosis Conference. Anaheim, CA November, 2011
  13. Kuo M, Rao AP, Afshar K. Outcomes and Predictors of Respiratory Failure requiring Mechanical Ventilation in Patients with Cystic Fibrosis. American Thoracic Society. San Francisco, CA May, 2012
  14. Fukushima LK, Evangelista L, Afshar K, Rao AP. Cognitive Dysfunction in Adult Cystic Fibrosis Patietns. American Thoracic Society. San Francisco, CA May, 2012
  15. Orjioke N, Wilcox A, McFadden PM, Herrington C, Afshar K. Evaluation of Airway Strictures following Lung Transplantation with CT Reconstruction: Comparison between Virtual and Fiberoptic Bronchoscopy. CHEST 2012;142:1097A
  16. Flora AS, Balekian A, Rao AP, Afshar K. The Effect of Fungal Colonization in Adults with Cystic Fibrosis. North American Cystic Fibrosis Conference. Orlando, FL November, 2012
  17. Patel P, Evangelista L, Chang S, Beringer P, Afshar K, Rao AP. Utilization of a nutrition and psychosocial algorithm to maintain goal body mass index in adult patients with cystic fibrosis. North American Cystic Fibrosis Conference. Orlando, FL November, 2012
  18. Iyer S, Afshar K, Evangelista L, Fukushima LK, Rao AP. Women’s health and sexuality: Important considerations for women with cystic fibrosis. North American Cystic Fibrosis Conference. Orlando, FL November, 2012
  19. Iyer S, Afshar K, Fukushima L, Evangelista L, Rao AP. Demystifying Sex: A gynecological view of women with cystic fibrosis. North American Cystic Fibrosis Conference. Orlando, FL November, 2012
  20. Afshar K, Fukushima, Modi A, Ahoui A, Balekian A, Rao AP. The utilization of the BODE index for cystic fibrosis patients. North American Cystic Fibrosis Conference. Orlando, FL November, 2012
  21. Mei N, Rao AP, McFadden PM, Afshar K. Maternal exposure to leflunomide in a cystic fibrosis lung transplant recipient. American Thoracic Society. Philadelphia, PA May, 2013 pA1293
  22. Afshar K, Fukushima LK, IyerKumar S, Ganesh S, Rao AP, Qiao R. Treatment of associated pulmonary hypertension in cystic fibrosis patients: Are there any deleterious effects? American Thoracic Society. Philadelphia, PA May, 2013 pA3300
  23. Mei N, Fukushima LK, Patel P, Rao AP, Afshar K. Phenotypic characteristics of cystic fibrosis patients with unilateral lung disease. American Thoracic Society. Philadelphia, PA May, 2013 pA4353
  24. Patel P, Fukushima LK, Lu A, Chou W, Rao AP, Afshar K. Menstruation in women with cystic fibrosis: Is there an effect on allergic bronchopulmonary aspergillosis? American Thoracic Society. Philadelphia, PA May, 2013 pA4352
  25. Ponnezhan V, Lu A, Rao AP, Afshar K. Reverse albumin/globulin ratio in cystic fibrosis patients: The signal or the noise for immunologically mediated complications. American Thoracic Society. Philadelphia, PA May, 2013 pA4354
  26. Kim N, Patel P, Fukushima L, Afshar K, Rao AP. Pulmonary exacerbations and modified BODE index in adults with cystic fibrosis. American Thoracic Society. San Diego, CA May, 2014
  27. Fukushima LK, Patel P, Afshar K, Rao AP, Hammond TC. Is rhino-sinustis in adult cystic fibrosis patients associated with altered sleep habits? American Thoracic Society. San Diego, CA May, 2014

Board Certification
Internal Medicine
Pulmonary Diseases
Critical Care Medicine

Honors and Awards

  • American College of Chest Physicians Leadership Development Award Recipient 2008
  • Southern California Pulmonary Research Symposium
    Young Investigator Award, 2008
    Palm Srings, CA

  • Resident of the Year
    Department of Medicine
    University of Southern California/Los Angeles County
    Los Angeles, CA 2003-2004

  • Alpha Omega Alpha Honor Medical Society, Gamma Chapter
    Keck School of Medicine-University of Southern California
    Los Angeles, CA May 2004

Additional Languages

Farsi