Allergic Bronchopulmonary Aspergillosis Flashcards
1
Q
What is a patient allergic to with ABA?
A
allergy to Aspergillus spores
2
Q
Common themes in questions relating to ABA?
A
bronchiectasis and eosinophilia.
3
Q
Clinical features of ABA
A
bronchoconstriction:
=> wheeze, cough, dyspnoea.
- Patients may have a previous label of asthma
- bronchiectasis (proximal)
4
Q
Investigation findings in ABA
A
eosinophilia
flitting CXR changes
positive RAST test to Aspergillus
positive IgG precipitins (not as positive as in aspergilloma)
raised IgE
5
Q
Management of ABA
A
oral steroids
itraconazole (second-line agent)
6
Q
A
