Coughing up brown phlegm plugs
Introduction
Introduction The main symptoms of acute allergic bronchopulmonary aspergillosis are wheezing (96%), hemoptysis (85%), pyogenic sputum (80%), fever (68%), chest pain (55%), and coughing brown sputum ( 54%). The majority of hemoptysis is blood stasis, but 4% of patients have a large amount of hemoptysis.
Cause
Cause
Allergicbronchopulmonary aspergillosis (ABPA) is the most common and most characteristic disease of allergic bronchial fungal disease. Its pathogenic Aspergillus is most common with Aspergillus fumigatus, Aspergillus oryzae, A. oryzae. Aspergillus oryzae can be seen. The main symptoms of the acute phase were wheezing (96%), hemoptysis (85%), pyogenic sputum (80%), fever (68%), chest pain (55%), and coughing brown sputum (54%). The majority of hemoptysis is blood stasis, but 4% of patients have a large amount of hemoptysis.
Examine
an examination
Related inspection
Serum immunoglobulin E (IgE) sputum color sputum bacterial culture
Diagnostic criteria include:
1 asthma (light and heavy).
2 lung infiltration.
3 Aspergillus antigen immediately cutaneous reaction positive; 4 serum total IgE increased (> 1000 ng / m1);
5 Aspergillus precipitin antibody positive.
6 Serum specificity: elevated IgE and IgG antibodies.
7 peripheral blood eosinophils increased. The above criteria have higher diagnostic accuracy for patients with acute exacerbation.
Laboratory examination: elevated serum total IgE (>1000 ng/ml). Aspergillus precipitin antibody positive. Serum specificity: elevated IgE and IgG antibodies. Peripheral blood eosinophils increase.
Diagnosis
Differential diagnosis
Allergic pulmonary aspergillosis: more coughing in the morning, mostly white or yellow sticky. In recent years, it has been possible to cough up brown jelly-like sputum.
Eosinophilic pneumonia: repeated abnormal shadows in the lungs, paroxysmal cough, brownish yellow sputum or bronchial tube type. There are Aspergillus and eosinophils in the sputum.
