由博伊德假阿利什菌引起的变应性支气管肺真菌病。

Allergic bronchopulmonary mycosis caused by Pseudallescheria boydii.

作者信息

Miller M A, Greenberger P A, Amerian R, Toogood J H, Noskin G A, Roberts M, Patterson R

机构信息

Department of Medicine, Northwestern University Medical School, Chicago, Illinois 60611.

出版信息

Am Rev Respir Dis. 1993 Sep;148(3):810-2. doi: 10.1164/ajrccm/148.3.810.

DOI:10.1164/ajrccm/148.3.810

PMID:8368653

Abstract

Two cases of allergic bronchopulmonary pseudallescheriosis (ABPP) are described. These are the first cases of this allergic bronchopulmonary mycosis (ABPM) reported in which the clinical and serologic criteria are described. The first case was in a patient with mild asthma, and it resolved spontaneously after expectoration of a mucous plug. The second was in a patient with recurrent allergic bronchopulmonary aspergillosis with an exacerbation of ABPM caused by Pseudallescheria boydii. The total serum IgE, IgG, and IgE antibodies against P. boydii and the clinical picture well define ABPP. This diagnosis may be important to recognize in order to prevent a progression of the patient's lung disease.

摘要

本文描述了两例变应性支气管肺假性阿利什菌病（ABPP）。这是首次报道的变应性支气管肺真菌病（ABPM）病例，同时描述了其临床和血清学标准。第一例患者患有轻度哮喘，咳出黏液栓后病情自发缓解。第二例患者患有复发性变应性支气管肺曲霉病，由博伊德假性阿利什菌引起ABPM病情加重。血清总IgE、IgG以及抗博伊德假性阿利什菌的IgE抗体和临床表现很好地界定了ABPP。认识到这一诊断对于防止患者肺部疾病进展可能很重要。