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Mass like lesions disappearing with treatment in a young patient.

Garg K, Saini V - Indian J. Med. Res. (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Government Medical College & Hospital, Sector 32, Chandigarh 160 032, India.

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Contrast enhanced computed tomography (CECT) chest with high resolution cuts revealed multiple nodular and mass like opacities with cavitary changes and hyperattenuation, mediastinal lymphadenopathy and central bronchiectasis (Figs 2 and 3)... Bronchoscopy was normal... Reviewing patient's CECT findings and blood eosinophilia, she was investigated for allergic broncho-pulmonary aspergillosis (ABPA)... Total and specific IgE levels for Aspergillus fumigatus were raised (11853 IU/ml and 6.79 kUA/l, respectively)... Spirometery showed mild obstruction with little reversibility... Diagnosis of ABPA as per Rosenberg Patterson criteria was made... The patient's condition improved on treatment with oral corticosteroids and itraconazole... Chest radiograph after three months revealed marked resolution (Fig. 4)... Total IgE levels were reduced... Rapid resolution of mass lesions following treatment of ABPA emphasizes on consideration of non malignant aetiologies as differentials of mass lesions in young patients... It also highlights a rare radiographic presentation of ABPA i.e. mass lesions even in patients with no asthmatic history.

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Chest radiograph (postero-anterior view) after three months of treatment revealing near complete resolution of mass like lesions (white arrows).
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Figure 4: Chest radiograph (postero-anterior view) after three months of treatment revealing near complete resolution of mass like lesions (white arrows).

Mentions: Diagnosis of ABPA as per Rosenberg Patterson criteria12 was made. The patient's condition improved on treatment with oral corticosteroids and itraconazole. Chest radiograph after three months revealed marked resolution (Fig. 4). Total IgE levels were reduced. Rapid resolution of mass lesions following treatment of ABPA emphasizes on consideration of non malignant aetiologies as differentials of mass lesions in young patients. It also highlights a rare radiographic presentation of ABPA i.e. mass lesions even in patients with no asthmatic history.


Mass like lesions disappearing with treatment in a young patient.

Garg K, Saini V - Indian J. Med. Res. (2015)

Chest radiograph (postero-anterior view) after three months of treatment revealing near complete resolution of mass like lesions (white arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4418168&req=5

Figure 4: Chest radiograph (postero-anterior view) after three months of treatment revealing near complete resolution of mass like lesions (white arrows).
Mentions: Diagnosis of ABPA as per Rosenberg Patterson criteria12 was made. The patient's condition improved on treatment with oral corticosteroids and itraconazole. Chest radiograph after three months revealed marked resolution (Fig. 4). Total IgE levels were reduced. Rapid resolution of mass lesions following treatment of ABPA emphasizes on consideration of non malignant aetiologies as differentials of mass lesions in young patients. It also highlights a rare radiographic presentation of ABPA i.e. mass lesions even in patients with no asthmatic history.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Government Medical College & Hospital, Sector 32, Chandigarh 160 032, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Contrast enhanced computed tomography (CECT) chest with high resolution cuts revealed multiple nodular and mass like opacities with cavitary changes and hyperattenuation, mediastinal lymphadenopathy and central bronchiectasis (Figs 2 and 3)... Bronchoscopy was normal... Reviewing patient's CECT findings and blood eosinophilia, she was investigated for allergic broncho-pulmonary aspergillosis (ABPA)... Total and specific IgE levels for Aspergillus fumigatus were raised (11853 IU/ml and 6.79 kUA/l, respectively)... Spirometery showed mild obstruction with little reversibility... Diagnosis of ABPA as per Rosenberg Patterson criteria was made... The patient's condition improved on treatment with oral corticosteroids and itraconazole... Chest radiograph after three months revealed marked resolution (Fig. 4)... Total IgE levels were reduced... Rapid resolution of mass lesions following treatment of ABPA emphasizes on consideration of non malignant aetiologies as differentials of mass lesions in young patients... It also highlights a rare radiographic presentation of ABPA i.e. mass lesions even in patients with no asthmatic history.

No MeSH data available.