Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Allergic Bronchopulmonary Aspergillosis Shown as Bilateral Pulmonary Masses

양측성 폐종괴 양상을 보인 알레르기성 기관지 폐 아스페르걸루스증 1예

  • Ko, Won-Ki (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Choi, Seung-Won (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Jae-Min (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Ahn, Gang-Hyun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Se-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Sung-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Won-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Choe, Kyu-Ok (Department of Diagnostic Radiology, Yonsei University College of Medicine) ;
  • Shin, Dong-Hwan (Department of Pathology, Yonsei University College of Medicine)
  • 고원기 (연세대학교 의과대학 내과학교실) ;
  • 최승원 (연세대학교 의과대학 내과학교실) ;
  • 박재민 (연세대학교 의과대학 내과학교실) ;
  • 안강현 (연세대학교 의과대학 내과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 이원영 (연세대학교 의과대학 내과학교실) ;
  • 최규옥 (연세대학교 의과대학 진단방사선과학교실) ;
  • 신동환 (연세대학교 의과대학 병리학교실)
  • Published : 1999.02.28
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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 ABP A 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 ABP A 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.

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