All::Respiratory::Diseases::Allergic bronchopulmonary aspergillosis

Intro

What are the common Investigation findings of Allergic bronchopulmonary aspergillosis?

  • eosinophilia
  • flitting CXR changes
  • positive radioallergosorbent (RAST) test to Aspergillus
  • positive IgG precipitins (not as positive as in aspergilloma)
  • raised IgE

What are the main clinical features of Allergic bronchopulmonary aspergillosis?

  • bronchoconstriction: wheeze, cough, dyspnoea. Patients may have a previous label of asthma
  • bronchiectasis (proximal)

What is the management of Allergic bronchopulmonary aspergillosis?

  • oral glucocorticoids
  • itraconazole is sometimes introduced as a second-line agent

What are the main causes of Allergic bronchopulmonary aspergillosis?

allergy to Aspergillus spores