Journal
INTERNAL MEDICINE
Volume 52, Issue 18, Pages 2135-2138Publisher
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.52.0069
Keywords
allergic bronchopulmonary aspergillosis; Aspergillus; central bronchiectasis; early diagnosis; 10-year period
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A 55-year-old woman visited our hospital for an investigation of central bronchiectasis, mucoid impaction and infiltrative shadows on chest CT. She had a 10-year history of bronchial asthma; however, her adherence to treatment was poor. Based on the presence of peripheral blood eosinophilia and immediate cutaneous reactivity to Aspergillus fumigatus, the patient was clinically diagnosed with allergic bronchopulmonary aspergillosis. Her condition and CT findings improved with systemic corticosteroid therapy. It was found that the patient had not been sensitized to Aspergillus 10 years earlier, indicating that single testing is inadequate for the early diagnosis of this disease.
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