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Diagnosis of allergic bronchopulmonary aspergillosis: a case-based approach.
[allergic bronchopulmonary aspergillosis]
ABSTRACT
 
Allergic
bronchopulmonary
aspergillosis
is
a
pulmonary
disease
occurring
in
patients
with
asthma
or
cystic
fibrosis
,
consequent
to
a
dysregulated
immune
response
to
inhaled
Aspergillus
conidia
.
The
usual
presentation
is
with
poorly
controlled
asthma
.
Patients
may
also
present
with
expectoration
of
mucus
plugs
,
hemoptysis
,
constitutional
symptoms
and
radiological
opacities
.
Patients
may
experience
smoldering
lung
destruction
despite
well-controlled
asthma
.
With
emerging
data
,
the
diagnostic
criteria
transcribed
by
an
International
Expert
Committee
in
2013
are
the
latest
evidence-based
guidelines
.
Herein
,
we
utilize
a
case-based
approach
to
elaborate
on
the
diagnosis
of
this
disease
.
The
review
intends
to
provide
a
lucid
understanding
of
the
diagnostic
process
for
the
expert
as
well
as
the
primary
physician
,
involved
in
management
of
this
enigmatic
disorder
.
Diseases
Validation
Diseases presenting
"lung destruction"
symptom
allergic bronchopulmonary aspergillosis
lymphangioleiomyomatosis
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