Features of Allergic Bronchopulmonary Aspergillosis on X-ray and Computed Tomography_West China Medical Journal

Authors：

 WangZongyong ^1,2 ,  YuJianqun ¹

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Radiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan 610081, P. R. China;

Corresponding?author：

YuJianqun, Email: cjr.yujianqun@vip.163.com

Keywords：

Allergic bronchopulmonary aspergillosis; Tomography, spiral computed; Radiography; Bronchiectasis

DOI：

10.7507/1002-0179.201600139

Video：

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Objective To investigate the chest radiographic and computed tomographic manifestations of allergic bronchopulmonary aspergillosis (ABPA). Method We retrospectively analyzed the chest radiographic and computed tomographic manifestations of 20 ABPA patients treated between December 2005 and December 2013. Results Chest radiograph showed that there were 4 negative cases, 14 cases of solid mass, 10 cases of increased and disorder of bronchovascular shadows, and 5 cases of bronchiectasis. Chest computed tomography showed that there were one negative case, 18 cases of bronchiectasis, 17 cases of central bronchiectasis among which central and peripheral bronchi were involved in 6 cases and 1 case presented as pure peripheral bronchiectasis, 11 cases of tree-in-bud signs, 6 cases of mucous embolism, 8 cases of solid mass, 5 cases of ground-glass opacity, 4 cases of pleural thickening, 3 cases of pleural effusion, and 2 cases of atelectasis. Conclusions For asthma and cystic fibrosis patients, central bronchiectasis on chest CT indicates the diagnosis of ABPA, but it cannot be considered as a characteristic feature. Bronchiectasis combined with high attenuation mucus may be a characteristic feature of ABPA although it is rare.

Citation： WangZongyong, YuJianqun. Features of Allergic Bronchopulmonary Aspergillosis on X-ray and Computed Tomography. West China Medical Journal, 2016, 31(3): 527-530. doi: 10.7507/1002-0179.201600139 Copy

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9.	陳步東, 靳二虎, 賀文,等. 變應性支氣管肺曲霉菌病的影像學表現[J]. 臨床和實驗醫學雜志, 2011, 10(11) :811-814.
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11.	Paganin F, Trussard V, Seneterre E, et al. Chest radiography and high resolution computed tomography of the lungs in asthma[J]. Am Rev Respir Dis, 1992, 146(4) :1084-1087.
12.	Ward S, Heyneman L, Lee MJ, et al. Accuracy of CT in the diagnosis of allergic bronchopulmonary aspergillosis in asthmatic patients[J]. AJR Am J Roentgenol, 1999, 173(4) :937-942.
13.	Menzies D, Holmes L, Mccumesky G, et al. Aspergillus sensitization is associated with airflow limitation and bronchiectasis in severe asthma[J]. Allergy, 2011, 66(5) :679-685.
14.	劉莉, 關玉寶, 曾慶思, 等. 變態反應性支氣管肺曲菌病的影像學表現[J]. 放射學實踐, 2008, 23(4) :396-399.
15.	Agarwal R, Gupta D, Aggarwal AN, et al. Allergic bronchopulmonary aspergillosis:lessons from 126 patients attending a chest clinic in North India[J]. Chest, 2006, 130(2) :442-448.
16.	Goyal R, White CS, Templeton PA, et al. High attenuation mucous plugs in allergic bronchopulmonary aspergillosis:CT appearance[J]. J Comput Assist Tomogr, 1992, 16(4) :649-650.
17.	Mukherji SK, Figueroa RE, Ginsberg LE, et al. Allergic fungal sinusitis:CT findings[J]. Radiology, 1998, 207(2) :417-422.
18.	Agarwal R. Allergic bronchopulmonary aspergillosis:lessons for the busy radiologist[J]. World J Radiol, 2011, 3(7) :178-181.

1. Greenberger PA. Clinical aspects of allergic bronchopulmonary aspergillosis[J]. Front Biosci, 2003, 8(1) :s119-s127.
2. 胡英毀. 變應性支氣管肺曲霉菌病的診治進展[J]. 北京醫學, 2013, 35(4) :295-298.
3. 苑欣然, 左玉強, 孟慶春, 等. 64排螺旋CT診斷變應性支氣管肺曲霉菌的價值[J]. 臨床肺科雜志, 2015, 20(11) :2055-2057.
4. Greenberger PA. Immunologic aspects of lung diseases and cystic fibrosis[J]. JAMA, 1997, 278(22) :1924-1930.
5. Wardlaw A, Geddes DM. Allergic bronchopulmonary aspergillosis:a review[J]. J R Soc Med, 1992, 85(12) :747-751.
6. Hinson KF, Moon AJ, Plummer NS. Broncho-pulmonary aspergillosis; a review and a report of eight new cases[J]. Thorax, 1952, 7(4) :317-333.
7. Agarwal R. Allergic bronchopulmonary aspergillosis[J]. Chest, 2009, 135(3) :805-826.
8. Panchal N, Bhagat R, Pant C, et al. Allergic bronchopulmonary aspergillosis:the spectrum of computed tomography appearances[J]. Respir Med, 1997, 91(4) :213-219.
9. 陳步東, 靳二虎, 賀文,等. 變應性支氣管肺曲霉菌病的影像學表現[J]. 臨床和實驗醫學雜志, 2011, 10(11) :811-814.
10. 張偉, 俞同福, 徐海, 等. 變應性支氣管肺曲霉菌病CT表現[J]. 南京醫科大學學報, 2012, 32(10) :1459-1461.
11. Paganin F, Trussard V, Seneterre E, et al. Chest radiography and high resolution computed tomography of the lungs in asthma[J]. Am Rev Respir Dis, 1992, 146(4) :1084-1087.
12. Ward S, Heyneman L, Lee MJ, et al. Accuracy of CT in the diagnosis of allergic bronchopulmonary aspergillosis in asthmatic patients[J]. AJR Am J Roentgenol, 1999, 173(4) :937-942.
13. Menzies D, Holmes L, Mccumesky G, et al. Aspergillus sensitization is associated with airflow limitation and bronchiectasis in severe asthma[J]. Allergy, 2011, 66(5) :679-685.
14. 劉莉, 關玉寶, 曾慶思, 等. 變態反應性支氣管肺曲菌病的影像學表現[J]. 放射學實踐, 2008, 23(4) :396-399.
15. Agarwal R, Gupta D, Aggarwal AN, et al. Allergic bronchopulmonary aspergillosis:lessons from 126 patients attending a chest clinic in North India[J]. Chest, 2006, 130(2) :442-448.
16. Goyal R, White CS, Templeton PA, et al. High attenuation mucous plugs in allergic bronchopulmonary aspergillosis:CT appearance[J]. J Comput Assist Tomogr, 1992, 16(4) :649-650.
17. Mukherji SK, Figueroa RE, Ginsberg LE, et al. Allergic fungal sinusitis:CT findings[J]. Radiology, 1998, 207(2) :417-422.
18. Agarwal R. Allergic bronchopulmonary aspergillosis:lessons for the busy radiologist[J]. World J Radiol, 2011, 3(7) :178-181.

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