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Sinobronchial allergic aspergillosis with allergic bronchopulmonary aspergillosis: a less common co-existence.
[allergic bronchopulmonary aspergillosis]
Allergic
bronchopulmonary
aspergillosis
(
ABPA
)
is
an
immunological
pulmonary
disorder
that
is
characterised
by
a
hyper-responsiveness
of
the
airways
to
Aspergillus
fumigatus
.
Although
several
other
fungi
may
also
present
with
similar
clinical
conditions
,
Aspergillus
remains
the
most
common
fungal
pathogen
causing
airway
infections
.
Co
-existence
of
ABPA
with
allergic
Aspergillus
sinusitis
(
AAS
)
is
an
uncommon
presentation
.
The
concept
of
one
airway
/
one
disease
justifies
the
co
-existence
of
ABPA
with
AAS
,
but
it
does
not
always
hold
true
.
We
report
a
case
of
a
35
-
year
-old
woman
who
presented
with
symptoms
suggestive
of
bronchial
asthma
.
On
further
investigation
,
the
radiological
pattern
showed
fleeting
shadows
and
CT
scan
showed
central
cystic
bronchiectatic
changes
characteristic
of
ABPA
.
The
nasal
secretions
were
investigated
for
the
presence
of
Aspergillus
and
were
found
to
be
positive
.
Hence
a
diagnosis
of
ABPA
with
AAS
was
established
.
The
patient
was
treated
with
oral
steroids
and
antifungal
drugs
.
Diseases
Validation
Diseases presenting
"several other fungi"
symptom
allergic bronchopulmonary aspergillosis
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