Table 6.
Similarities and differences of ABPA in patients with cystic fibrosis or asthma.
| ABPA in CF | ABPA in Asthma | |
|---|---|---|
| Childhood onset | Common | Uncommon |
| Sex | Male/Female=1 | Male/Female=1 |
| Clinic | Pulmonary exacerbation of CF | Worsening of asthmatic symptoms |
| Mucus Production | Increased, brown-black | New, brown-black |
| Clubbing | Common | Rare |
| Eosinophilia | Uncommon | Common |
| Total IgE >1,000 IU/mL | + | + |
| Specific serologic test | rAsp f6 specific IgE | Combination of rAsp f4 and f6 specific IgE |
| Aspergillus skin prick test | + | + |
| Concomitant bacterial infections | Common | Uncommon |
| Bronchiectasis | Central, but generally extensive | Central |
| Transient pulmonary opacities | + | + |
| High attenuation mucus plugs on chest CT | + | + |
ABPA, allergic bronchopulmonary aspergillosis; CF, cystic fibrosis; IgE, immunoglobulin E; rAsp, recombinant Aspergillus fumigatus antigens.