Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation
Allergic bronchopulmonary aspergillosis is an uncommon condition characterized by airway hypersensitivity to Aspergillus fumigatus, resulting in worsening asthma control and bronchiectasis progression. It is associated with various radiological features. Here, we describe a 53-year-old lady with aty...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2022/3627202 |
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| author | Mahmoud Ibrahim Mahmoud Alaeldin Elfaki Ziad A. Alhaj Abir Hamad Said |
| author_facet | Mahmoud Ibrahim Mahmoud Alaeldin Elfaki Ziad A. Alhaj Abir Hamad Said |
| author_sort | Mahmoud Ibrahim Mahmoud |
| collection | DOAJ |
| description | Allergic bronchopulmonary aspergillosis is an uncommon condition characterized by airway hypersensitivity to Aspergillus fumigatus, resulting in worsening asthma control and bronchiectasis progression. It is associated with various radiological features. Here, we describe a 53-year-old lady with atypical CT chest finding as soft tissue density masses in both lungs evaluated initially as a lung tumour. The diagnosis was particularly challenging given the history of undiagnosed asthma. Nevertheless, bronchoscopy findings of mucus impaction and blood eosinophilia redirect the clinical thinking toward ABPA. Laboratory examination showed elevated total IgE, Aspergillus fumigatus IgE, and Aspergillus niger IgE. Shortly after treatments with systemic steroids, our patient showed a symptomatic improvement. Moreover, subsequent follow-up showed a resolution of the radiological opacities. |
| format | Article |
| id | doaj-art-5e2dd42a261c4f4a9e936b0ac984e941 |
| institution | Kabale University |
| issn | 2090-6854 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-5e2dd42a261c4f4a9e936b0ac984e9412025-02-03T01:07:36ZengWileyCase Reports in Pulmonology2090-68542022-01-01202210.1155/2022/3627202Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like PresentationMahmoud Ibrahim Mahmoud0Alaeldin Elfaki1Ziad A. Alhaj2Abir Hamad Said3Imam Abdulrahman Bin Faisal UniversityImam Abdulrahman Bin Faisal UniversityImam Abdulrahman Bin Faisal UniversityImam Abdulrahman Bin Faisal UniversityAllergic bronchopulmonary aspergillosis is an uncommon condition characterized by airway hypersensitivity to Aspergillus fumigatus, resulting in worsening asthma control and bronchiectasis progression. It is associated with various radiological features. Here, we describe a 53-year-old lady with atypical CT chest finding as soft tissue density masses in both lungs evaluated initially as a lung tumour. The diagnosis was particularly challenging given the history of undiagnosed asthma. Nevertheless, bronchoscopy findings of mucus impaction and blood eosinophilia redirect the clinical thinking toward ABPA. Laboratory examination showed elevated total IgE, Aspergillus fumigatus IgE, and Aspergillus niger IgE. Shortly after treatments with systemic steroids, our patient showed a symptomatic improvement. Moreover, subsequent follow-up showed a resolution of the radiological opacities.http://dx.doi.org/10.1155/2022/3627202 |
| spellingShingle | Mahmoud Ibrahim Mahmoud Alaeldin Elfaki Ziad A. Alhaj Abir Hamad Said Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation Case Reports in Pulmonology |
| title | Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation |
| title_full | Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation |
| title_fullStr | Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation |
| title_full_unstemmed | Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation |
| title_short | Allergic Bronchopulmonary Aspergillosis with an Atypical Mass-Like Presentation |
| title_sort | allergic bronchopulmonary aspergillosis with an atypical mass like presentation |
| url | http://dx.doi.org/10.1155/2022/3627202 |
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