Table 1.
The present case met the new diagnostic criteria for ABPA. The present case met the criteria for allergic pulmonary mycosis because 6 criteria were met. In addition, sputum culture was positive for Aspergillus and for Aspergillus-specific IgE antibodies, leading to the diagnosis of ABPA.
| Diagnostic criteria for ABPA | Present case | |
|---|---|---|
| 1 | Current or previous history of asthma or asthmatic symptoms | ○ |
| 2 | Peripheral blood eosinophilia (≥500 cells/mm3) | ○ |
| 3 | Elevated total serum IgE levels (≥417 IU/mL) | ○ |
| 4 | Immediate cutaneous hypersensitivity or specific IgE for filamentous fungi | ○ |
| 5 | Presence of precipitins or specific IgG for filamentous fungi | |
| 6 | Filamentous fungal growth in sputum cultures or bronchial lavage fluid | ○ |
| 7 | Presence of fungal hyphae in bronchial mucus plugs | |
| 8 | Central bronchiectasis on CT | |
| 9 | Presence of mucus plugs in central bronchi, based on CT/bronchoscopy or mucus plug expectoration history | ○ |
| 10 | High attenuation mucus in the bronchi on CT | |
IgE, immunoglobulin E; IgG, immunoglobulin G; CT, computed tomography.