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Allergic bronchopulmonary aspergillosis presenting a glove-finger shadow in radiographic images
Marta Elizabeth Kalil1, Ana Luiza Godoy Fernandes, Aline Cristiane da Silva Curzel
1Centro de Ciências Médicas e Biológicas, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil.
Abstract:
Allergic bronchopulmonary aspergillosis is a lung disease occurring in patients with asthma or cystic fibrosis, triggered by a hypersensitivity reaction to the presence of Aspergillus fumigatus in the airways. We report herein the case of a patient presenting a clinical profile suggestive of asthma and meeting the clinical, laboratory testing and radiological criteria for a diagnosis of allergic bronchopulmonary aspergillosis. The importance of such findings is that early diagnosis can reduce the risk of respiratory exacerbations and fibrosis.
Insights
Allergic bronchopulmonary aspergillosis (ABPA) is a lung condition caused by Aspergillus fumigatus. Early diagnosis in asthma patients is key to preventing severe respiratory issues and lung damage.
Area of Science:
- Pulmonology
- Allergology
- Infectious Diseases
Background:
- Allergic bronchopulmonary aspergillosis (ABPA) is an inflammatory lung disease.
- It occurs in individuals with asthma or cystic fibrosis.
- ABPA results from an immune response to Aspergillus fumigatus fungal presence in the airways.
Observation:
- A case study of a patient with symptoms mimicking asthma is presented.
- The patient met established criteria for ABPA diagnosis.
- Diagnostic confirmation included clinical evaluation, laboratory tests, and radiological imaging.
Findings:
- The patient's presentation and diagnostic workup confirmed allergic bronchopulmonary aspergillosis.
- This highlights the importance of recognizing ABPA in asthma-like presentations.
Implications:
- Early and accurate diagnosis of ABPA is crucial.
- Prompt treatment can mitigate the risk of severe respiratory exacerbations.
- Timely intervention helps prevent the progression of pulmonary fibrosis.
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