Dr Vivek Kumar

Opening Hours : Monday to Saturday - 10am to 5pm
  Contact : 844 845 55 45

ABPA

ABPA, i.e. Allergic Broncho Pulmonary Aspergillosis is an often missed cause of shortness of breath

Clue: uncontrolled asthma on high dose ICS-LABA

Diagnosis:

Skin prick test positive to Aspergillus fumigatus or Specific IgE Af more than 0.35

Total IgE more than 1000

Types:

ABPA-S: no lung parenchyma damage

ABPA-CB: Bronchiectasis present

ABPA-CB-ORF: other radiological features also present

Treatment:

Oral steroids

Supportive therapy

Chest physiotherapy

LTOT

Immunisation

Allergen avoidance

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