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Chest, Vol 87, 499-502, Copyright © 1985 by American College of Chest Physicians

ARTICLES

Use of linear tomography to confirm the diagnosis of allergic bronchopulmonary aspergillosis

MR Fisher, EB Mendelson, RA Mintzer, AJ Ricketti and PA Greenberger

Allergic bronchopulmonary aspergillosis (ABPA) has been recognized increasingly in the past few years. In minimal disease, plain chest films may be insensitive. Early detection of pulmonary involvement may help prevent irreversible damage to the lungs and bronchi. Bronchography, while both sensitive and specific, is not without hazard, particularly to the asthmatic patient. We evaluated the usefulness of linear tomography in confirming ABPA prior to initiation of corticosteroid therapy. We find that tomography is a simple, noninvasive instrument for detecting the presence of or proving the absence of the earliest manifestations of ABPA.




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Copyright © 1985 by the American College of Chest Physicians.