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Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
[Diagnosis of allergic bronchopulmonary aspergillosis]
Abstract:
Five patients (4 men and 1 woman) afflicted with bronchopulmonary aspergillosis (ABPA) were examined. The main criteria for the diagnosis were a high level of the total IgE, demonstration of specific IgE to Aspergillus fumigatus, positive skin tests with antigens of moldy fungi. All the 4 patients with active process, not given corticosteroids, manifested eosinophilia of the sputum and peripheral blood. The clinical picture of bronchial asthma was recorded in 2 patients. It is desirable that all the patients with protracted and relapsing infiltrative processes in the lungs running with sputum and blood eosinophilia undergo examinations for the presence of ABPA.
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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