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[变应性支气管肺曲霉病的诊断]

[Diagnosis of allergic bronchopulmonary aspergillosis].

作者信息

Antonov V B, Golubeva T N, Mitrofanov V S, Sardyko N V, Sobolev A V, Iarobkova N D

出版信息

Ter Arkh. 1990;62(4):119-22.

PMID:2118279
Abstract

Five patients (4 men and 1 woman) afflicted with bronchopulmonary aspergillosis (ABPA) were examined. The main criteria for the diagnosis were a high level of the total IgE, demonstration of specific IgE to Aspergillus fumigatus, positive skin tests with antigens of moldy fungi. All the 4 patients with active process, not given corticosteroids, manifested eosinophilia of the sputum and peripheral blood. The clinical picture of bronchial asthma was recorded in 2 patients. It is desirable that all the patients with protracted and relapsing infiltrative processes in the lungs running with sputum and blood eosinophilia undergo examinations for the presence of ABPA.

摘要

对5例支气管肺曲霉菌病(ABPA)患者(4例男性,1例女性)进行了检查。诊断的主要标准为总IgE水平升高、烟曲霉特异性IgE的检测、霉菌真菌抗原皮肤试验阳性。4例处于活动期且未使用皮质类固醇的患者均表现出痰液和外周血嗜酸性粒细胞增多。2例患者记录有支气管哮喘的临床表现。所有肺部有持续和复发性浸润性病变并伴有痰液和血液嗜酸性粒细胞增多的患者都应接受ABPA检查。

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