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Development of allergic bronchopulmonary aspergillosis with central bronchiectasis over a 10-year period: the need to recheck allergen sensitization.
[allergic bronchopulmonary aspergillosis]
A
55
-
year
-old
woman
visited
our
hospital
for
an
investigation
of
central
bronchiectasis
,
mucoid
impaction
and
infiltrative
shadows
on
chest
CT
.
She
had
a
10
-
year
history
of
bronchial
asthma
;
however
,
her
adherence
to
treatment
was
poor
.
Based
on
the
presence
of
peripheral
blood
eosinophilia
and
immediate
cutaneous
reactivity
to
Aspergillus
fumigatus
,
the
patient
was
clinically
diagnosed
with
allergic
bronchopulmonary
aspergillosis
.
Her
condition
and
CT
findings
improved
with
systemic
corticosteroid
therapy
.
It
was
found
that
the
patient
had
not
been
sensitized
to
Aspergillus
10
years
earlier
,
indicating
that
single
testing
is
inadequate
for
the
early
diagnosis
of
this
disease
.
