Allergic bronchopulmonary aspergillosis as presenting sign of cystic fibrosis in elderly man

Ma Elinore B. Vilar, Nabeel M. Najib, Ishtiaq Chowdhry, Clifford W. Bassett, Bernard A. Silverman, Robert J. Giusti, Ute W. Rosa, Arlene T. Schneider

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8 Scopus citations

Abstract

Background: Although cystic fibrosis is the most common genetic disorder of children, its heterogeneous spectrum of severity lends itself to underdiagnosis in the older adult patient population where the index of suspicion is not high. Methods: We report a 60-year-old Hispanic man with asthma who presented with progressive dyspnea and wheezing unresponsive to inhaled corticosteroid treatment. Additionally, he had clinical findings and a past history suggestive of cystic fibrosis. Skin testing, radiography and laboratory studies were completed to evaluate for allergic bronchopulmonary aspergillosis (ABPA) and cystic fibrosis. Results: Test results revealed peripheral eosinophilia and hyper IgE. Skin testing to Aspergillus fumigatus (Af) was positive. IgG, IgM, and Af specific antibodies were present. High resolution CT scan showed central bronchiectasis. Sweat tests were positive on two separate occasions and gene analysis showed our patient to have a positive gene mutation at D127ON/D127ON. Conclusion: Cystic fibrosis should be suspected in the older adult patient with a compatible clinical presentation.

Original languageEnglish (US)
Article number62437
Pages (from-to)70-73
Number of pages4
JournalAnnals of Allergy, Asthma and Immunology
Volume85
Issue number1
DOIs
Publication statusPublished - Jul 2000
Externally publishedYes

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ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine

Cite this

Vilar, M. E. B., Najib, N. M., Chowdhry, I., Bassett, C. W., Silverman, B. A., Giusti, R. J., ... Schneider, A. T. (2000). Allergic bronchopulmonary aspergillosis as presenting sign of cystic fibrosis in elderly man. Annals of Allergy, Asthma and Immunology, 85(1), 70-73. [62437]. https://doi.org/10.1016/S1081-1206(10)62437-4