Varying Presentations of Allergic Bronchopulmonary Aspergillosis

Vol. 73, No. 3, 1984

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Original Paper

Varying Presentations of Allergic Bronchopulmonary Aspergillosis
Anthony J. Ricketti, Paul A. Greenberger, Roy Patterson

Section of Allergy-Immunology, Department of Medicine, Northwestern University Medical School, Chicago, Ill., USA

Address of Corresponding Author

Int Arch Allergy Immunol 1984;73:283-285 (DOI: 10.1159/000233483)

Abstract

The diagnosis of allergic bronchopulmonary aspergillosis (ABPA) may be difficult when the major criteria are not present or when the clinical, laboratory, and radiographic findings have been altered by prior corticosteroid therapy. However, the early diagnosis of ABPA is important because it may lead to the prevention of evolution to the corticosteroid-dependent asthma stage (stage IV) or fibrotic lung disease stage (stage V). The clinical histories of 3 ABPA patients are reviewed to demonstrate that these patients may appear in different stages of ABPA and with markedly varied presentations. The high index of suspicion required for diagnosis of ABPA deserves emphasis as does the importance of excluding a diagnosis of ABPA in all asthmatics with immediate skin reactivity to Aspergillus fumigatus.

Author Contacts

Correspondence to: Dr. Roy Patterson, 303 East Chicago Avenue, Chicago, IL 60611 (USA)

Article Information

Received: July 26, 1983
Published online: August 04, 2009
Number of Print Pages : 3

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