open access

Vol 80, No 1 (2012)
CASE REPORTS
Published online: 2011-12-21
Submitted: 2013-02-22
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Allergic bronchopulmonary aspergillosis mimicking lung cancer in a non-asthmatic female patient: a case report

Urszula Nowicka, Elżbieta Wiatr, Lilia Jakubowska, Małgorzata Polubiec-Kownacka
Pneumonol Alergol Pol 2012;80(1):77-81.

open access

Vol 80, No 1 (2012)
CASE REPORTS
Published online: 2011-12-21
Submitted: 2013-02-22

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a lung disease caused by a hypersensitivity reaction to antigens of the Aspergillus species (most frequently Aspergillus fumigatus), with a variable radiographic appearance. ABPA most commonly affects patients with steroid-dependent asthma (1–2%) and patients with cystic fibrosis (5–15%). ABPA is very rarely diagnosed in non-asthmatics. We report a case of ABPA in a 45-year-old female initially evaluated for suspected cancer of the left lung with hilar lymphadenopathy, who had never been diagnosed with asthma. After the diagnostic investigation was complete, the diagnosis of ABPA was established and appropriate treatment was instituted leading to clinical, radiological, and serological improvement (IgE decrease).

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a lung disease caused by a hypersensitivity reaction to antigens of the Aspergillus species (most frequently Aspergillus fumigatus), with a variable radiographic appearance. ABPA most commonly affects patients with steroid-dependent asthma (1–2%) and patients with cystic fibrosis (5–15%). ABPA is very rarely diagnosed in non-asthmatics. We report a case of ABPA in a 45-year-old female initially evaluated for suspected cancer of the left lung with hilar lymphadenopathy, who had never been diagnosed with asthma. After the diagnostic investigation was complete, the diagnosis of ABPA was established and appropriate treatment was instituted leading to clinical, radiological, and serological improvement (IgE decrease).
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Keywords

allergic bronchopulmonary aspergillosis (ABPA); bronchial asthma; lung cancer

About this article
Title

Allergic bronchopulmonary aspergillosis mimicking lung cancer in a non-asthmatic female patient: a case report

Journal

Advances in Respiratory Medicine

Issue

Vol 80, No 1 (2012)

Pages

77-81

Published online

2011-12-21

Bibliographic record

Pneumonol Alergol Pol 2012;80(1):77-81.

Keywords

allergic bronchopulmonary aspergillosis (ABPA)
bronchial asthma
lung cancer

Authors

Urszula Nowicka
Elżbieta Wiatr
Lilia Jakubowska
Małgorzata Polubiec-Kownacka

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