{"title":"TB or not TB…","authors":"R. Hughes, T. Felton, M. Munavvar, J. Howells","doi":"10.1016/j.rmedx.2005.10.002","DOIUrl":null,"url":null,"abstract":"<div><p>Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count.</p><p>ABPA usually occurs in patients with a pre-existing history of asthma—it is unusual in non-asthmatic patients [Greenberger PA, Patterson R. Allergic bronchopulmonary aspergillosis and the evaluation of the patient with asthma. <em>J Allergy Clin Immunol</em> 1988;<strong>81</strong><span>:646–50]. It is important not to miss the diagnosis of ABPA as delayed treatment can lead to irreversible pulmonary fibrosis [Basich JE, Graves TS, Baz MN, et al. Allergic bronchopulmonary aspergillosis in corticosteroid-dependent asthmatics. </span><em>J Allergy Clin Immunol</em> 1981;<strong>68</strong>:98–102]. We describe the case of a patient with ABPA, with no past history of asthma and a normal eosinophil count, whose initial presentation mimicked tuberculosis.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2005.10.002","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory Medicine Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1744904905000470","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count.
ABPA usually occurs in patients with a pre-existing history of asthma—it is unusual in non-asthmatic patients [Greenberger PA, Patterson R. Allergic bronchopulmonary aspergillosis and the evaluation of the patient with asthma. J Allergy Clin Immunol 1988;81:646–50]. It is important not to miss the diagnosis of ABPA as delayed treatment can lead to irreversible pulmonary fibrosis [Basich JE, Graves TS, Baz MN, et al. Allergic bronchopulmonary aspergillosis in corticosteroid-dependent asthmatics. J Allergy Clin Immunol 1981;68:98–102]. We describe the case of a patient with ABPA, with no past history of asthma and a normal eosinophil count, whose initial presentation mimicked tuberculosis.