Dubai Final-v20.indd - World Allergy Organization

ABstrACts
PoSTEr SESSion 3-1: immune mechanisms of allergy
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an UnUSUal PrESEnTaTion oF PUlmonarY maSS liKE lESionS SEConDarY To an allErgiC CaUSE
rafique, m. and mahboub, B.
Department of Pulmonary medicine, rashid Hospital, Dubai, United Arab Emirates.
Background:31yr old male referred for evaluation of pulmonary masses presents with symptoms of cough with expectoration
for 3yrs,intermittent dyspnoea & hemoptysis.H/o use of frequent antibiotics.loss of appetite& weight present methodsCXr show
perihilar & central pulmonary masses.Ct sugg of large nodular bilateral opacities in upper lobes,middle lobe,lingula close
to hilum,few small nodules in both lower lobes with no adenopathy. Bronchoscopy (FOB) showed features of dilatation of rt
Upper lobe,middle lobe bronchi with extrusion of impacted mucus balls sugg of Bronchiectasis with inspissated mucus with no
endobronchial growth resultsBroncho alveolar lavage & washings grew pseudomonas & aspergillus fumigatus,negative for
malignancy and negativeAFB smear & cultures,total igE70 iU/ml,Absolute eosinophil count 200,mantoux negative,allergy skin
tests positive for A.fumigatus,High A.fumigatus Ab 2560,specific igE m3asp39,50 Kua/l.Pulmonary function showed moderate
obstruction with significant reversibility sugg of asthma. treated with levofloxacin 2wk, Oral steroids 0.5mg/kg 2mth with tapering
doses.Formeterol & Budesonide inhaler 160mcg 2puffs BD with Chest physiotherapy .His CXr& Ctscan showed complete clearance
of pulmonary nodular masses in 2mths timeConclusion An Unsual presentation of Allergic Bronchopulmonary aspergillosis ABPA,
which mimic tumour like opacities due to mucus plugging ,revealing underlying central bronchiectasis after clearance of mucus
balls with background of undiagnosed asthma reference Allergic bronchopulmonary aspergillosis.Patterson strekmE Dept of
medicine, section of Pulmonary and Critical Care medicine, the University of Chicago, Chicago, il 60637, UsA: 2010 may;7(3):237-
44 Proc American thoracic society
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ForgoTTEn ParaSiTES in allErgY PraCTiCE
Kumar, P.
medicine, louisiana state University Health sciences Center, new Orleans, lA.
BaCKgroUnD
in UsA and other western countries, parasitic infestations are often overlooked as a cause of allergic diseases. in order to heighten
awareness, the following three patients are being presented.
PaTiEnTS mETHoDS & rESUlTS
Case i: 26 year old female presented with two year history of generalized urticaria and periorbital angioedema. travel history
included trip to india 6 months prior to onset of symptoms. she had elevated eosinophil count (518/mm3), elevated total igE
(1376 K U/l). specific igE antibodies to ascaris were elevated at 9.29 K U/l (normal