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Clinical analysis of allergic bronchopulmonary aspergillosis: a report of 48 patients

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Author:
No author available
Journal Title:
Chinese Journal of General Practitioners
Issue:
9
DOI:
10.3760/cma.j.issn.1671-7368.2012.09.022
Key Word:
超敏反应;曲霉菌病,变态反应性支气管肺;Hypersensitivity;Aspergillosis,allergic bronchopulmonary

Abstract: To retrospectively analyze the clinical data of 48 patients with allergic bronchopulmonary aspergillosis (ABPA) at Shanghai Pulmonary Hospital.There were 23 males and 25 females with a mean age of (36 ± 15) years.Their clinical manifestations included wheeze,cough,sputum production,sputum plugs,fever,hemoptysis,weight loss,chest pain,weakness and night sweats.They had a high peripheral blood eosinophilia,a higher serum total IgE,a higher level of aspergillosis fumigatus-specific IgE and positive immediate skin-prick test to aspergillus fumigatus.Aspergillus species were detected in sputum samples of 26 patients.Chest computed tomography (CT) was performed in 48 patients.There were patchy infiltrations (n =45),transient infiltrations (n =40),central bronchiectasis (n =35) and mucoid impaction (n =18).Obstructive ventilation dysfunction was confirmed by lung function test.

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