| Pictorial essay: Allergic bronchopulmonary aspergillosis. | |
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MedLine Citation:
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PMID: 22223932 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Allergic bronchopulmonary aspergillosis (ABPA) is the best-known allergic manifestation of Aspergillus-related hypersensitivity pulmonary disorders. Most patients present with poorly controlled asthma, and the diagnosis can be made on the basis of a combination of clinical, immunological, and radiological findings. The chest radiographic findings are generally nonspecific, although the manifestations of mucoid impaction of the bronchi suggest a diagnosis of ABPA. High-resolution CT scan (HRCT) of the chest has replaced bronchography as the initial investigation of choice in ABPA. HRCT of the chest can be normal in almost one-third of the patients, and at this stage it is referred to as serologic ABPA (ABPA-S). The importance of central bronchiectasis (CB) as a specific finding in ABPA is debatable, as almost 40% of the lobes are involved by peripheral bronchiectasis. High-attenuation mucus (HAM), encountered in 20% of patients with ABPA, is pathognomonic of ABPA. ABPA should be classified based on the presence or absence of HAM as ABPA-S (mild), ABPA-CB (moderate), and ABPA-CB-HAM (severe), as this classification not only reflects immunological severity but also predicts the risk of recurrent relapses. |
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Authors:
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Ritesh Agarwal; Ajmal Khan; Mandeep Garg; Ashutosh N Aggarwal; Dheeraj Gupta |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Indian journal of radiology & imaging Volume: 21 ISSN: 1998-3808 ISO Abbreviation: Indian J Radiol Imaging Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2012-01-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503873 Medline TA: Indian J Radiol Imaging Country: India |
Other Details:
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Languages: eng Pagination: 242-52 Citation Subset: - |
Affiliation:
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Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh - 160 012, India. |
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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