Diagnostic criteria for pulmonary aspergillosis | PGI Nov 2017 Preparations MCQ

Diagnostic criteria for pulmonary aspergillosis 

A. Asthma 
B. Eosinophillia
C. Bilateral chest ipfiltrates
D. increased lgG 
E. Bronchiectasis

Answer. A. Asthma; (B) Eosinophilia; (E) Central bronchiectasis

Diagnostic criteria for bronchopulmonary Aspergillosis:

Primary

(i) Clinical h/o Asthma

(ii) Eosinophilia

(iii) Immediate skin Reactivity to aspergillus antigen

(iv) Precipitating Ab. To aspergillus Antigen

(v) IgE

(vi) Pulmonary infiltrates

(viii) Central bronchiectasis

In ABPA, the pulmonary infiltrates may be patchy , segmental and even whole lung may be involved.