Allergic Bronchopulmonary mycosis - Slocum Flashcards
1
Q
Defined as
A
pulmonary hypersensitivity caused by allergy to fungal antigens that colonize tracheobronchial tree
2
Q
Usually occurs in what pt population?
A
asthamatic pts 20-40 yrs of age in response to aspergillus
3
Q
Dianostic criteria
A
- Clinical history of asthma
- peripheral esoinophilia
- immediate skin reactivity to aspergillus antigen
- precipitating antibodies to aspergillus antigen
- elevated serum IgE
- Pulm infiltrates
- cnetral bronchiectasis
If first six of the above are met diagnosis is confirmed.
Sputum culture can also be done to identify aspergillu. hisory of brown-clecked sputum and late skin reactivity to aspergillus antigen
4
Q
Treatment
A
High dose prednisone for at least 2 months
