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Miliary nodules: An unusual presentation of allergic bronchopulmonary aspergillosis.
[allergic bronchopulmonary aspergillosis]
Allergic
bronchopulmonary
aspergillosis
(
ABPA
)
is
an
immune-mediated
inflammatory
disease
caused
by
hypersensitivity
to
Aspergillus
fumigatus
.
A
wide
spectrum
of
plain
radiographic
appearances
has
been
described
in
ABPA
,
though
none
are
pathognomonic
of
ABPA
.
The
common
radiological
abnormalities
encountered
are
fleeting
pulmonary
opacities
,
bronchiectasis
,
and
mucoid
impaction
.
Uncommon
radiological
findings
encountered
in
ABPA
include
pulmonary
masses
,
perihilar
opacities
simulating
hilar
adenopathy
,
and
pleural
effusions
.
However
,
miliary
nodules
as
a
radiological
presentation
of
ABPA
are
very
rare
and
only
one
case
has
been
reported
in
literature
.
It
is
often
misdiagnosed
and
mismanaged
as
tuberculosis
;
thus
,
the
clinician
should
be
vigilant
enough
to
diagnose
this
very
rare
entity
.
Diseases
Validation
Diseases presenting
"perihilar opacities simulating hilar adenopathy"
symptom
allergic bronchopulmonary aspergillosis
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