@article{oai:nagoya.repo.nii.ac.jp:02005490,
 author = {大沢, 功 and OHSAWA, Isao and 押田, 芳治 and OSHIDA, Yoshiharu and 近藤, 孝晴 and KONDO, Takaharu and 佐藤, 祐造 and SATO, Yuzo and 戸田, 安士 and TODA, Yasushi},
 issue = {1},
 journal = {総合保健体育科学, Nagoya Journal of Health, Physical Fitness & Sports},
 month = {Mar},
 note = {We report a case of allergic brohchopulmonary aspergillosis (ABPA) in a 20-year-old male with no episode of bronchial asthma. His chest X-ray film at the annual health check-up in April 1993 showed bilateral infiltrative shadows. The abnormal shadows were enlarged on the next X-ray film (May 26). Laboratory examinations showed blood eosinophilia, marked elevation of serum IgE concentration and lgE antibody to Aspergillus. Bronchofiberscopy revealed mucoid impactions at the orifices of the right B^9 and left lower lobe bronchus. Pathological examinations revealed bronchial inflammatory change with eosinophils. The sputum culture showed Aspergillus niger. Although the clinical features and laboratory finding of this case did not satisfy Rosenberg's criteria, we diagnosed this case the early stage of ABPA (ABPA-S). ABPA is potentially fatal because it will induce fibrotic lung destruction. Early diagnosis and treatment before the development of irreversible damage are necessary to prevent the chronic respiratory failure. In this case, we were able to find at relatively early stage without central bronchiectasis. Therefore the chest X-ray film at the annual health check-up was effective for the early diagnosis of ABPA.},
 pages = {1--4},
 title = {定期健康診断で発見されたアレルギー性気管支肺アスペルギルス症の1例},
 volume = {17},
 year = {1994}
}