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Lung India Official publication of Indian Chest Society  
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Year : 2014  |  Volume : 31  |  Issue : 3  |  Page : 285-288

Miliary nodules: An unusual presentation of allergic bronchopulmonary aspergillosis

Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India

Correspondence Address:
Dr. Urvinder Pal Singh
22, Baba Srichand Marg, Opposite Government Press, Sirhind road, Patiala, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.135784

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Allergic bronchopulmonary aspergillosis (ABPA) is an immune-mediated inflammatory disease caused by hypersensitivity to Aspergillus fumigatus. A wide spectrum of plain radiographic appearances has been described in ABPA, though none are pathognomonic of ABPA. The common radiological abnormalities encountered are fleeting pulmonary opacities, bronchiectasis, and mucoid impaction. Uncommon radiological findings encountered in ABPA include pulmonary masses, perihilar opacities simulating hilar adenopathy, and pleural effusions. However, miliary nodules as a radiological presentation of ABPA are very rare and only one case has been reported in literature. It is often misdiagnosed and mismanaged as tuberculosis; thus, the clinician should be vigilant enough to diagnose this very rare entity.

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