A Case of Allergic Bronchopulmonary Aspergillosis During Childhood
Journal of the Korean Pediatric Society
;
: 284-288, 1999.
Article
in Korean
| WPRIM
| ID: wpr-43786
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aspergillosis, Allergic Bronchopulmonary
/
Aspergillus
/
Aspergillus fumigatus
/
Asthma
/
Skin
/
Spores
/
Thorax
/
X-Ray Film
/
Chest Pain
/
Bronchi
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Infant
/
Male
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1999
Type:
Article
Similar
MEDLINE
...
LILACS
LIS