[Diagnosis of allergic bronchopulmonary aspergillosis]

Terapevticheskii Arkhiv
|January 1, 1990
PubMed

Insights

Diagnosing allergic bronchopulmonary aspergillosis (ABPA) involves high IgE levels and specific Aspergillus fumigatus sensitivity. Eosinophilia in sputum and blood suggests ABPA in patients with persistent lung issues.

Area of Science:

  • Pulmonology
  • Allergology
  • Infectious Diseases

Background:

  • Allergic bronchopulmonary aspergillosis (ABPA) is an inflammatory lung disease.
  • Diagnosis can be challenging, often overlapping with other respiratory conditions.

Purpose of the Study:

  • To describe diagnostic criteria and clinical features of ABPA.
  • To highlight the importance of considering ABPA in specific patient populations.

Main Methods:

  • Case study of five patients diagnosed with ABPA.
  • Diagnostic criteria included elevated total IgE, specific IgE to Aspergillus fumigatus, and positive skin tests.
  • Clinical evaluation of symptoms and laboratory findings.

Main Results:

  • All patients exhibited high total IgE and specific IgE to Aspergillus fumigatus.
  • Four patients with active disease showed sputum and peripheral blood eosinophilia.
  • Two patients presented with clinical symptoms consistent with bronchial asthma.

Conclusions:

  • Elevated IgE, specific IgE to Aspergillus fumigatus, and eosinophilia are key indicators of ABPA.
  • ABPA should be suspected in patients with chronic or relapsing lung infiltrates accompanied by eosinophilia.

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