Allergic bronchopulmonary aspergillosis diagnotic criteria are
A. Peripheral eosinophilia> 0.1 x l07B. Central lower lobe bronchiectasis
C. ↑ IgG
D. Detection of Aspergillus in sputum
E. Asthma is always present
Ans.
B. Central lower lobe bronchiectasis; (D) Detection of Aspergillus in sputum
* In Allergic Bronchopulmonary Aspergillosis
(ABPA), upper lobes are most likely to be affected for unknown reasons. ABPA
occurs in atopic asthmatic (particularly Glucocorticoid dependent) individuals
of age 20-40 years. Sometimes, may present without previous history of Asthma.
It can occur in non-Asthmatic individuals, e.g. cystic fibrosis.
