Occupational Asthma Reference

SEATON A, SEATON RA, WIGHTMAN AJA, Management of allergic bronchopulmonary aspergillosis without maintenance oral corticosteroids: a fifteen-year follow-up, Q J Med, 1994;87:529-537,

Keywords: BPA, Bronchopulmonary aspergillosis

Known Authors

Tony Seaton, Formerley Professor of Occupational and Environmental Medicine, Aberdeen Tony Seaton

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Abstract

Five non-smoking patients were diagnosed as having allergic bronchopulmonary aspergillosis in 1978/9. All have been treated since then with inhaled corticosteroids, using short courses of self-administered oral corticosteroids for symptomatic exacerbations. Over a mean 15 years of follow-up, they have required on average less than one course of oral drugs per annum. Regular monitoring of spirometry has shown no evidence of deterioration, and all have close to normal gas transfer. All have some localized bronchiectasis on CT scanning, in two cases probably occuring after treatment started, but in no case is there any respiratory disability. We conclude that this is a safe and effective method for the management of allergic bronchopulmonary aspergillosis when diagnosed before persistent hyphal colonization of the airways has occurred.

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