Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by Dr Bruno Di Muzio

Presentation

Worsening dyspnea, obstructive lung function.

Patient Data

Age: 60 years
Gender: Male

There is right lower lobe collapse likely due to a mucous plugging. Multiple central bronchi show to be filled given a "finger in glove" appearance, particularly in the left lower lobe. Also, patchy areas of groundglass opacities and a few centrilobular nodules. 

Case Discussion

Although ABPA is rarely seen in the absence of asthma, this patient showed high eosinophils at bronchoscopy. 

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Case information

rID: 60594
Published: 21st Oct 2019
Last edited: 4th Nov 2019
System: Chest
Inclusion in quiz mode: Included

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