Case report: A rare cause of miliary nodules -- allergic bronchopulmonary aspergillosis.
Allergic bronchopulmonary aspergillosis (ABPA) is a complex immune hypersensitivity reaction to the fungus Aspergillus fumigatus, which occurs in patients with asthma and cystic fibrosis. The common radiological findings include fleeting pulmonary opacities, bronchiectasis and mucoid impaction. Uncommon radiological findings encountered in ABPA include lung masses, perihilar opacities simulating hilar adenopathy and pleural effusions. Herein, we describe a 36-year-old man who presented to the chest clinic with miliary nodules on a chest radiograph and was diagnosed as having ABPA confirmed on both serology and lung biopsy. This is the first report of ABPA presenting as randomly scattered nodules on CT.
Agarwal
R
R
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. riteshpgi@gmail.com
Aggarwal
A N
AN
Gupta
D
D
Bal
A
A
Das
A
A
D000328:Adult; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000097:blood / Q000000981:diagnostic imaging*; D001232:Aspergillus fumigatus / Q000276:immunology*; D015267:Churg-Strauss Syndrome / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D011234:Precipitins / Q000097:blood; D012882:Skin Tests; D014057:Tomography, X-Ray Computed; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging
D007074:Immunoglobulin G; D011234:Precipitins; D007073:Immunoglobulin E