title: Cavitary Lung Lesions in a Difficult-To-Treat Asthma Patient.
abstract: We describe an interesting case of severe asthma who was not showing satisfactory response to standard treatment. Investigations revealed him to be suffering from allergic bronchopulmonary aspergillosis (ABPA). After starting systemic steroids he showed marked improvement initially only to have recurrent symptoms within a year. He was investigated further and found to have chronic pulmonary aspergillosis in the form of chronic cavitary pulmonary aspergillosis (CCPA) and aspergilloma as also the presence of selective IgA deficiency.
authors.affiliation: Department of Hematology.
authors.forename: R
authors.initials: R
authors.lastname: Ragesh
authors.affiliation: Department of Medicine.
authors.forename: Animesh
authors.initials: A
authors.lastname: Ray
authors.affiliation: Department of Medicine.
authors.forename: Agrima
authors.initials: A
authors.lastname: Mian
authors.affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi.
authors.forename: Surabhi
authors.initials: S
authors.lastname: Vyas
authors.affiliation: Department of Medicine.
authors.forename: S K
authors.initials: SK
authors.lastname: Sharma
mesh_terms: D000328:Adult; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000150:complications / Q000188:drug therapy*; D001249:Asthma / Q000150:complications*; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000188:drug therapy; D055732:Pulmonary Aspergillosis / Q000150:complications / Q000188:drug therapy*