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Pulmonary aspergillosis - allergic bronchopulmonary type
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Alternative Names:
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| Aspergillosis - allergic bronchopulmonary; Allergic bronchopulmonary aspergillosis; ABPA |
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Symptoms:
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Signs and tests:
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- elevated CBC eosinophil count
- elevated serum IgE antibodies: total IgE level and level of IgE specific for aspergillus
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aspergillus antigen skin test
- positive serum aspergillus antibodies
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chest X-ray showing infiltrates and finger-like shadows
- chest CAT scan showing central bronchiectasis (dilation of the airways) or mucous plugging
- sputum stain and culture for fungus
- bronchoscopy with cultures and transbronchial biopsy
- rarely lung biopsy is required
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