1995 Volume 17 Issue 1 Pages 69-74
A 64-year-old man with bronchial asthma was admitted to our hospital because of dry cough. Chest X-ray film showed consolidation in the right upper lobe. Chest CT film showed central bronchiectasis and a branch like shadow. IgE-RAST and skin test were positive for aspergillus fumigatus. The was diagnosed as allergic bronchopulmonary aspergillosis (ABPA) based on Rosenberg's diagnostic criteria. One month after the admission, dry cough and wheeze deterorated and a new shadow developed in the right lower lobe. TBLB was performed and the diagnosis was eosinophilic pneumonia. Both the airway symptoms and the shadow were promptly following with beclomethasone dipropionate (800μg/day) inhalation therapy. This case suggests that steroid inhalation therapy may be effective for ABPA.
