Abstract
The term BEAP (Bronchiectasis, Eosinophilia, Asthma, Pneumonitis) syndrome, was introduced by Goodman in 1974. He reported that a patient who was intolerant to milk during infancy presented with a history of asthma and suffered repetitive respiratory infections, eosinophilia and bronchiectasis.
The authors reported an 8-year-old boy who has suffered from asthma and atopic dermatitis since infancy. He suffered repetitive pneumonitis and developed bronchiectasis. After his admission, the patient was examined and diagnosed “Food (especially egg) induced BEAP syndrome”.
The results are summarized as follows. Laboratory findings revealed remarkable eosinophilia and high serum IgE level. Prick and intradermal tests showed positive immediate reactions to HD and D. farinae antigen and positive immediate and late reactions to ovalbumin and ovomucoid antigen. Precipitating antibody to ovalbumin extract was positive. The chest X-rays demonstrated the repetitive pulmonary infiltration shadows in the right lower lobe. Bronchography revealed cylindrical bronchiectatic findings in the right B5. The provocation test with egg demonstrated positive immediate and late reactions with physical and laboratory findings.
The authors reported a case of egg-induced BEAP syndrome, although the first case of the syndrome reported by Goodman was caused by aspergillus fumigatus.
