Allergic Bronchopulmonary Aspergillosis

Raymond G. Slavin, MD; Charlene C. Gottlieb, MD; Louis V. Avioli, MD
Arch Intern Med. 1986;146(9):1799-1801. doi:10.1001/archinte.1986.00360210187027.
Text Size: A A A
Published online

Charlene C. Gottlieb, MD, Chief Resident in Medicine, Jewish Hospital of St Louis: A 32-year-old man with a 15-year history of bronchial asthma presented with episodes of bronchospasm, which had increased over the past year and necessitated several bursts of prednisone. In the past nine months, he had had three roentgenologically documented episodes of pneumonia involving different areas of the lung.

On physical examination, the patient's temperature was 38.1°C. Diffuse wheezing was heard throughout the chest. The white blood cell count was 12 000 mm3 (12.0 × 109/L) with 28% (0.28) eosinophils. Skin tests to pollens and molds were positive, including a 4+ prick test to Aspergillus fumigatus. Serum precipitins were strongly positive for A fumigatus. The total serum IgE level was 3400 ng/mL (3840 μg/L). Prednisone therapy (60 mg/d) was begun, with rapid improvement in the chest roentgenogram and the clinical state.

Raymond G. Slavin, MD,


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.