NEJM Images: More Than Asthma

A 26-yo man with a long history of poorly controlled asthma and severe environmental allergies was admitted for an exacerbation of asthma. A chest CT showed bronchiectasis along with mediastinal and hilar lymphadenopathy.

What was the reason?
Allergic Bronchopulmonary Aspergillosis.

Pulmonary Infiltrates with Eosinophilia (PIE)

Allergic Bronchopulmonary Aspergillosis (ABPA)

Read more in Eosinophilic Lung Diseases from

See more allergy and immunology mind maps at

Allergic Bronchopulmonary Aspergillosis. NEJM Images in Clinical Medicine, 08/2008.
Eosinophilic Lung Diseases from

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