A case of allergic bronchopulmonary aspergillosis shown as bilateral pulmonary masses.

Ko, Won Ki; Choi, Seung Won; Park, Jae Min; Ahn, Gang Hyun; Kim, Se Kyu; Chang, Joon; Kim, Sung Kyu; Lee, Won Young; Choe, Kyu Ok; Shin, Dong Hwan

doi:1999.46.2.260

Tuberc Respir Dis > Volume 46(2); 1999 > Article

Case Report

Tuberculosis and Respiratory Diseases 1999;46(2):260-265.
DOI: https://doi.org/10.4046/trd.1999.46.2.260 Published online February 1, 1999.

A case of allergic bronchopulmonary aspergillosis shown as bilateral pulmonary masses.

Won Ki Ko, Seung Won Choi, Jae Min Park, Gang Hyun Ahn, Se Kyu Kim, Joon Chang, Sung Kyu Kim, Won Young Lee, Kyu Ok Choe, Dong Hwan Shin

¹Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
²Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.
³Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

The first case of allergic bronchopulmonary aspergillosis(ABPA) was reported by Hinson, et al. in 1952. This was followed by a number of significant description of the disorder. Although typical ABPA initially presents with asthma, fleeting pulmonary infiltrates, and marked eosinophilia, there are many other ways in which the disease may be first manifested. Common radiologic findings in ABPA include pulmonary infiltrates, atelectasis, emphysema, fibrosis, lobar shrinkage with hilar elevation, cavitation, pneumothorax, aspergilloma and central bronchiectasis. We experienced a case of allergic bronchopulmonary aspergillosis presenting rare radiologic finding of bilateral pulmonary masses in chest radiography. With oral corticosteroid treatment, the size of both pulmonary masses was decreased significantly and his asthmatic symptoms were improved.

Key Words: Allergic bronchopulmonary aspergillosis, Pulmonary mass