Investigations
The investigation of allergic bronchopulmonary aspergillosis should include the following:
- chest radiology shows various transient abnormalities:
- consolidation or collapse
- thickened bronchial wall markings
- peripheral shadows
- signs of proximal bronchiectasis
- full blood count reveals eosinophilia
- serum IgE levels will be raised and precipitating antibodies to Aspergillus species present in 90% of cases
- fungal spores or hyphae may be seen on sputum microscopy or grown on culture
- skin-prick test almost always positive to Aspergillus fumigatus
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