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 "wide spectrum" symptom

22q11.2 deletion syndrome

acute rheumatic fever

adrenal incidentaloma

adrenomyeloneuropathy

alexander disease

allergic bronchopulmonary aspergillosis

canavan disease

classical phenylketonuria

focal myositis

holt-oram syndrome

homocystinuria without methylmalonic aciduria

hydrocephalus with stenosis of the aqueduct of sylvius

kabuki syndrome

kallmann syndrome

krabbe disease

lamellar ichthyosis

monosomy 21

neonatal adrenoleukodystrophy

oligodontia

primary hyperoxaluria type 1

proteus syndrome

wolf-hirschhorn syndrome

x-linked adrenoleukodystrophy

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