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Updated: Aug 6, 2026

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Published on: March 22, 2012
Secondary amyloidosis in association with Aspergillus lung disease
Abstract:
Three patients with amyloidosis secondary to bronchiectasis are described: in two patients bronchiectasis was secondary to allergic bronchopulmonary aspergillosis and in the third, post-tuberculous bronchiectasis was complicated by asthma and allergy to Aspergillus. We suggest that chronic Aspergillus allergy may cause amyloidosis and that some cases of amyloidosis ascribed to tuberculosis in the past may in fact have been secondary to Aspergillus allergy.
Insights
Chronic Aspergillus allergy may lead to amyloidosis in patients with bronchiectasis. This suggests some tuberculosis-related amyloidosis cases might stem from Aspergillus allergy.
Area of Science:
- Pulmonary Medicine
- Immunology
- Pathology
Background:
- Amyloidosis is a rare complication of chronic inflammatory lung diseases.
- Bronchiectasis, a condition involving permanent lung damage, can predispose individuals to chronic infections and inflammation.
Observation:
- This study describes three patients with amyloidosis secondary to bronchiectasis.
- Two patients had bronchiectasis linked to allergic bronchopulmonary aspergillosis.
- The third patient had post-tuberculous bronchiectasis with co-existing asthma and Aspergillus allergy.
Findings:
- Chronic Aspergillus allergy is proposed as a potential cause of amyloidosis.
- This challenges the traditional attribution of some amyloidosis cases solely to tuberculosis.
Implications:
- Re-evaluating the etiology of amyloidosis in patients with a history of tuberculosis is recommended.
- Recognizing Aspergillus allergy as a potential driver of amyloidosis may improve diagnosis and treatment strategies for affected individuals.
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