Roentgenographic and clinical staging of allergic bronchopulmonary aspergillosis

E. B. Mendelson, M. R. Fisher, R. A. Mintzer, J. M. Halwig, P. A. Greenberger

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a disease of asthmatics that follows a protracted course. When ABPA is treated with high dose corticosteroids, it presents a difficult problem in clinical management. Five stages, based on clinical, roentgenographic, and immunologic criteria, have been identified as follows: (I) acute, (II) remission, (III) exacerbation (IV) corticosteroid-dependent asthma, and (V) pulmonary fibrosis. We studied 24 ABPA patients actively followed up to 11 years at our institution. We conclude that which there are no unique roentgenographic findings to define a particular stage, clinicoroentgenographic staging does aid in therapeutic management. Two major roentgenographic contributions are (1) to establish the diagnosis by demonstrating proximal bronchiectasis, and (2) to provide a baseline for an individual patient against which to monitor progressive changes and remissions.

Original languageEnglish (US)
Pages (from-to)334-339
Number of pages6
JournalCHEST
Volume87
Issue number3
DOIs
StatePublished - 1985

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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