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학술저널
저자정보
Park, Sung-Woon (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine) Choi, Jae-Chol (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine) Kim, Jae-Yeol (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine) Park, In-Won (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine) Choi, Byoung-Whui (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine) Shin, Jong-Wook (Division of Allergy, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine)
저널정보
대한결핵 및 호흡기학회 Tuberculosis and Respiratory Diseases 결핵 및 호흡기 질환 제71권 제4호
발행연도
2011.1
수록면
278 - 281 (4page)

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Allergic bronchopulmonary aspergillosis (ABPA) is a complex clinical entity resulting from an allergic immune response to Aspergillus species, and most often occurs in patients with asthma. ABPA is rarely observed in the absence of asthma, which is, in fact, the principal criterion for its diagnosis. Our patient was a 53-year-old woman with no history of bronchial asthma. She presented with a 1-month history of cough, mucopurulent nasal discharge, and localized pulmonary consolidation. Peripheral blood eosinophilia and elevated serum IgE were observed. Sinus radiography showed right maxillary sinusitis. Pathologic examination of bronchoscopic biopsy specimens revealed conglomerates of fungal hyphae. Pulmonary function and bronchial provocation tests were within normal ranges. The patient was successfully treated for 3 months with itraconazole and oral prednisolone. There has been no evidence of recurrence over a 7-month follow-up. ABPA coupled with sinusitis in a nonasthmatic patient is a very rare occurrence and warrants reporting.

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