All issues > Volume 42(2); 1999

Case Report

J Korean Pediatr Soc. 1999;42(2):284-288. Published online February 15, 1999.

A Case of Allergic Bronchopulmonary Aspergillosis During Childhood

Kyoung Ah KA Ha¹, Chang Keun CK Kim¹, Churl Young CY Chung¹, Jung Sook JS Kim²

¹Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
²Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea

Abstract

Allergic bronchopulmonary aspergillosis(ABPA) is an inflammatory disease which causes a hypersensitivity to Aspergillus spores growing in the bronchi. The clinical syndrome is characterized by asthma, recurrent pulmonary infiltrations or mucoid impaction, eosinophilia, and central bronchiectasis. A 12-year-old boy was admitted to our hospital because of right lower chest pain and cystic mass-like shadows on a chest X-ray film. He had asthma as an infant, but had no asthmatic symptoms on admission. Chest CT scan showed low density cystic mass of the right lower lobe. The total eosinophil count and IgE level were abnormally high. Test for immediate skin reaction to Aspergillus fumigatus was positive but precipitating antibody to Aspergillus antigen was negative. After steroid treatment, he became asymptomatic. Radiologic abnormalities including mass-like shadows were resolved by two months after the start of treatment and a follow-up high resolution CT scan obtained after clinical improvement revealed central saccular bronchiectasis. We report one case of ABPA with review of literature.

Keywords :Allergic bronchopulmonary aspergillosis, Asthma, Cystic mass, Central bronchiectasis