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Allergic Bronchopulmonary Aspergillosis: Less Common Patterns

Warren B. Gefter M.D.1, David M. Epstein M.D.1, and Wallace T. Miller M.D.1

1 From the Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pa.

Recurrent infiltrates and shadows of mucold impaction are typical radiographic features of allergic bronchopulmonary aspergillosis (ABPA). In 14 cases seen by the authors, atelectasis (46%) and chronic consolidation, at times accompanied by cavitation (21%), were other dominant features of this hypersensitivity disorder and may suggest the diagnosis in the appropriate clinical setting. Mycetoma, empyema, and spontaneous pneumothorax were unusual complications. Radiologists should be familiar with the wide range of findings in ABPA, since early diagnosis and steroid therapy are important.

Index terms: Anaphylaxis and allergy • Aspergillosis, 6[0].2056 and 6[0].634 • Lungs, cavitation • Lungs, collapse • Lungs, infection

Submitted on June 2, 1980




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[Abstract] [Full Text] [PDF]


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