open access

Vol 83, No 2 (2015)
CASE REPORTS
Submitted: 2015-03-10
Accepted: 2015-03-10
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Allergic Bronchopulmonary Aspergillosis presenting as lobar or total lung collapse

Raj Kumar, Mohammed Noufal Poongadan, Mandeep Singh
DOI: 10.5603/PiAP.2015.0023
·
Pneumonol Alergol Pol 2015;83(2):144-150.

open access

Vol 83, No 2 (2015)
CASE REPORTS
Submitted: 2015-03-10
Accepted: 2015-03-10

Abstract

Introduction: Allergic bronchopulmonary aspergillosis (ABPA) is a T-helper cell 2 (Th2) mediated hypersensitive lung disorder in response to Aspergillus that usually affects asthmatic and cystic fibrosis (CF) patients. ABPA rarely presents as lung collapse and such kind of presentation is very rare in non asthmatic patients. We are presenting a series of three cases in which ABPA presented as lobar or total lung collapse. ABPA presenting as opaque hemithorax is a rarity with only a few of them reported in the literature.

Case series — the first case described is a 45-year non-smoker with history suggestive of bronchial asthma and on chest radiological examination was found to have opaque right hemithorax. The second case is of 62-year non-smoker non-asthmatic patient who presented to us as left lung collapse. The last case is of middle lobe collapse in asthmatic male. All cases ultimately were proved to be having ABPA and after treatment showed marked clinical and radiological improvement.

Conclusions: The present case series highlights the need for aggressive approach in diagnosing this treatable condition in cases presenting as segmental or total lung collapse. The condition has a good prognosis if detected early.

Abstract

Introduction: Allergic bronchopulmonary aspergillosis (ABPA) is a T-helper cell 2 (Th2) mediated hypersensitive lung disorder in response to Aspergillus that usually affects asthmatic and cystic fibrosis (CF) patients. ABPA rarely presents as lung collapse and such kind of presentation is very rare in non asthmatic patients. We are presenting a series of three cases in which ABPA presented as lobar or total lung collapse. ABPA presenting as opaque hemithorax is a rarity with only a few of them reported in the literature.

Case series — the first case described is a 45-year non-smoker with history suggestive of bronchial asthma and on chest radiological examination was found to have opaque right hemithorax. The second case is of 62-year non-smoker non-asthmatic patient who presented to us as left lung collapse. The last case is of middle lobe collapse in asthmatic male. All cases ultimately were proved to be having ABPA and after treatment showed marked clinical and radiological improvement.

Conclusions: The present case series highlights the need for aggressive approach in diagnosing this treatable condition in cases presenting as segmental or total lung collapse. The condition has a good prognosis if detected early.

Get Citation

Keywords

ABPA, lung collapse, allergic bronchopulmonary aspergillosis, asthma

About this article
Title

Allergic Bronchopulmonary Aspergillosis presenting as lobar or total lung collapse

Journal

Advances in Respiratory Medicine

Issue

Vol 83, No 2 (2015)

Pages

144-150

DOI

10.5603/PiAP.2015.0023

Bibliographic record

Pneumonol Alergol Pol 2015;83(2):144-150.

Keywords

ABPA
lung collapse
allergic bronchopulmonary aspergillosis
asthma

Authors

Raj Kumar
Mohammed Noufal Poongadan
Mandeep Singh

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