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⏱️ 150s
🌱 Beginner Level — 0 / 50
Allergic Bronchopulmonary Aspergillosis (ABPA)
A 37-year-old asthmatic man presents with worsening wheezing and productive cough with brown mucus plugs. Labs: total IgE >1000 IU/mL, eosinophilia, positive Aspergillus-specific IgE. Chest CT shows central bronchiectasis.
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Oral corticosteroids for acute management
Clinical + high total IgE + Aspergillus-specific IgE + radiology
Itraconazole or voriconazole to reduce fungal burden
Pulmonology follow-up with IgE monitoring and chest imaging
Omalizumab for refractory asthma/ABPA
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