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2 out of 7

Which of the following is not a diagnostic criteria of ABPA? (NEET 2014)

A Episodic bronchial obstruction (asthma)

B Peripheral blood eosinophilia (> 1000/mm3)

C Distal bronchiectasis

D All are the feature

Ans. C

Distal bronchiectasis

Table 255-3 Diagnostic Features of Allergic Bronchopulmonary Aspergillosis (ABPA)

(Ref Hari- 18th ed., Pg- 2120)

Main diagnostic criteria

1). Bronchial asthma

2). Pulmonary infiltrates

3). Peripheral eosinophilia

4). Immediate wheal-and-flare response to fumigatus

5). Serum precipitins to A . fumigatus

6). Elevated serum IgE

7). Central bronchiectasis

Other diagnostic features

1). History of brownish plugs in sputum

2). Culture of A . fumigatus from sputum

3). Elevated IgE (and IgG) class antibodies specific for A . fumigates


1). CXR (transient segmental collapse or consolidation, proximal bronchiectasis)

2). Aspergillus in sputum; positive aspergillus skin test and/or aspergillus-specific IgE RAST (radioallergosorbent test); positive serum precipitins; eosinophilia; raised serum IgE.


1). Prednisolone

2). Bronchodilators