[A case of allergic bronchopulmonary aspergillosis with no history of bronchial asthma].

Yoshida, N; Suguro, H; Kohara, F; Akiyama, Y; Katoh, H; Hashimoto, N; Majima, T; Yamaguchi, M; Horie, T; Kawabata, Y

Yoshida, N; Suguro, H; Kohara, F; Akiyama, Y; Katoh, H; Hashimoto, N; Majima, T; Yamaguchi, M; Horie, T; Kawabata, Y.

Afiliación

Yoshida N; First Department of Internal Medicine, Nihon University School of Medicine.

Nihon Kyobu Shikkan Gakkai Zasshi ; 30(12): 2123-7, 1992 Dec.

Article en Ja | MEDLINE | ID: mdl-1289634

RESUMEN

A 53-year-old male was admitted to our hospital because of an abnormal shadow in the left upper lung. Bronchofiberscopy revealed edematous mucosa and pus at the orifice of the left upper lobe bronchus. Pathological examination revealed bronchial inflammatory change with infiltration of eosinophils and also the existence of aspergillus in the pus. Mild eosinophilia and elevation of serum IgE level were observed in the peripheral blood, and serum precipitin against Aspergillus fumigatus was positive. Bronchogram showed central bronchiectasis, and the diagnosis of allergic bronchopulmonary aspergillosis (ABPA) was made. In cases of ABPA, bronchial asthma is usually present prior to presentation, but this patient had no history of asthma even though airway hyperresponsiveness to methacholine was confirmed.

Asunto(s)

Aspergilosis Broncopulmonar Alérgica/etiología; Asma/complicaciones; Humanos; Masculino; Persona de Mediana Edad

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aspergilosis Broncopulmonar Alérgica / Asma Límite: Humans / Male / Middle aged Idioma: Ja Revista: Nihon Kyobu Shikkan Gakkai Zasshi Año: 1992 Tipo del documento: Article Pais de publicación: Japón

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