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Allergic Bronchopulmonary Aspergillosis (ABPA)-The High Resolution Computed Tomography (HRCT) Chest Imaging Scenario.
[allergic bronchopulmonary aspergillosis]
Allergic
bronchopulmonary
aspergillosis
(
ABPA
)
is
a
progressive
disease
which
can
lead
to
recurrent
exacerbations
,
bronchiectatic
changes
and
end-
stage
fibrosis
.
Early
diagnosis
and
treatment
prevents
its
progression
and
alleviate
its
clinical
manifestations
.
High
resolution
CT
of
the
chest
has
emerged
as
a
promising
investigation
for
its
diagnosis
.
To
review
the
high
resolution
computed
tomography
(
HRCT
)
chest
manifestations
in
ABPA
patients
.
This
study
included
110
patients
with
ABPA
who
had
undergone
HRCT
of
the
chest
in
the
routine
diagnostic
workup
for
ABPA
.
The
scans
were
assessed
for
changes
in
bronchi
,
parenchyma
and
pleura
and
findings
consistent
with
ABPA
were
evaluated
.
HRCT
chest
was
normal
in
24
patients
.
86
patients
demonstrated
central
bronchiectasis
with
predilection
for
upper
and
middle
lobes
.
Centrilobular
nodules
with
or
without
linear
opacities
(
tree
in
bud
pattern
)
,
mucoceles
and
high
-attenuation
mucus
were
seen
in
86
%
,
59
%
and
36
%
patients
respectively
.
Central
bonchiectasis
combined
with
centrilobular
nodules
and
mucus
impaction
(
especially
high
attenuation
mucus
)
strongly
favour
the
diagnosis
of
ABPA
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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