Approach

ABPA is an uncommon condition, but the diagnosis should be considered in patients with allergic asthma or cystic fibrosis (CF). Patients usually present with exacerbation of respiratory symptoms, including increased shortness of breath and wheeze, cough with expectoration of mucus plugs, and fever. In some cases, a patient's symptoms may be unchanged from their normal status.[8]

Early diagnosis is important because timely treatment of ABPA prevents the progression of ABPA to pulmonary fibrosis and/or bronchiectasis.[33]

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