A Case of Allergic Bronchopulmonary Aspergillosis During Childhood.
- Author:
Kyoung Ah HA
1
;
Chang Keun KIM
;
Churl Young CHUNG
;
Jung Sook KIM
Author Information
1. Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Allergic bronchopulmonary aspergillosis;
Asthma;
Cystic mass;
Central bronchiectasis
- MeSH:
Aspergillosis, Allergic Bronchopulmonary*;
Aspergillus;
Aspergillus fumigatus;
Asthma;
Bronchi;
Bronchiectasis;
Chest Pain;
Child;
Eosinophilia;
Eosinophils;
Follow-Up Studies;
Humans;
Hypersensitivity;
Immunoglobulin E;
Infant;
Male;
Skin;
Spores;
Thorax;
Tomography, X-Ray Computed;
X-Ray Film
- From:Journal of the Korean Pediatric Society
1999;42(2):284-288
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Allergic bronchopulmonary aspergillosis(ABPA) is an inflammatory disease which causes a hypersensitivity to Aspergillus spores growing in the bronchi. The clinical syndrome is characterized by asthma, recurrent pulmonary infiltrations or mucoid impaction, eosinophilia, and central bronchiectasis. A 12-year-old boy was admitted to our hospital because of right lower chest pain and cystic mass-like shadows on a chest X-ray film. He had asthma as an infant, but had no asthmatic symptoms on admission. Chest CT scan showed low density cystic mass of the right lower lobe. The total eosinophil count and IgE level were abnormally high. Test for immediate skin reaction to Aspergillus fumigatus was positive but precipitating antibody to Aspergillus antigen was negative. After steroid treatment, he became asymptomatic. Radiologic abnormalities including mass-like shadows were resolved by two months after the start of treatment and a follow-up high resolution CT scan obtained after clinical improvement revealed central saccular bronchiectasis. We report one case of ABPA with review of literature.
