Allergic Bronchopulmonary aspergillosis Flashcards

1
Q

What is Allergic Bronchopulmonary aspergillosis
due to?

A

An allergy to Aspergillus spores

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2
Q

What are the main features of bronchopulmonary aspergillosis?

A

Bronchoconstriction
Bronchiectasis

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3
Q

What does bronchoconstriction include?

A

Wheeze
Cough
Dyspnoea

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4
Q

What might patients have a previous label of with allergic bronchopulmonary aspergillosis?

A

A previous label of asthma

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5
Q

Where would the bronchiectasis be present?

A

Proximally

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6
Q

What investigations would you do for allergic bronchopulmonary aspergillosis?

A

Eosinophilia
Radioallergosorbent (RAST) test to Aspergillus
positive IgG precipitins
raised IgE

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7
Q

What investigations would you do for allergic bronchopulmonary aspergillosis?

A

Eosinophilia
Positive Radioallergosorbent (RAST) test to Aspergillus
positive IgG precipitins
raised IgE

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8
Q

What are the main two features of allergic bronchopulmonary aspergillosis?

A

Eosinophilia
Bronchoconstriction

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9
Q

What will be positive in someone with allergic bronchopulmonary aspergillus?

A

Radioallergosorbent (RAST)
IgG precipitins

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10
Q

What is the medical management for allergic bronchopulmonary aspergillosis?

A

Oral glucocorticoids

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11
Q

What might you see on a chest x-ray of someone with allergic bronchopulmonary aspergillosis?

A

Thickened bronchial walls, and cystic appearance
Tramline and ring shadows

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12
Q

What is sometimes introduced as a second line agent in someone with allergic bronchopulmonary aspergillosis?

A

Itraconazole

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13
Q

What is bronciectasis?

A

Airways widened and filled with excess muscus

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