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Volume 330:941 March 31, 1994 Number 13
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Case 45-1993: Allergic Bronchopulmonary Aspergillosis

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 by Joseph, P. M.
To the Editor: In Case 45-1993 (Nov. 11 issue),1 a 23-year-old man with asthma is eventually given a diagnosis of allergic bronchopulmonary aspergillosis. I believe it was inappropriate to admit this patient to the hospital and to subject him to bronchoscopy or a mediastinoscopic examination.

The patient should have been seen for office or outpatient study. The physician could have seen the numerous eosinophils and Charcot-Leyden crystals in an unstained specimen of fresh sputum. These signs, with the characteristic history and radiographic findings, would have suggested allergic bronchopulmonary aspergillosis. Measurement of the serum IgE level, a blood count for eosinophils, . . . [Full Text of this Article]

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