Question:hard
Not seen in allergic bronchopulmonary aspergillosis is:
Not seen in allergic bronchopulmonary aspergillosis is:
Show Hint
ABPA is allergy, not repeated infection; find the infection answer.
Updated On: Jun 24, 2026
- High IgE level
- Recurrent pneumonia
- Occurrence in patients with old cavitary lesions
- Pleural effusion
Show Solution
The Correct Option is B
Solution and Explanation
Step 1: This is a negative question, so confirm what truly belongs to ABPA and discard the odd one out.
Step 2: ABPA is an allergic, IgE-driven reaction to Aspergillus in asthmatic airways. Expected findings are very high serum IgE, fleeting pulmonary infiltrates, blood eosinophilia, central bronchiectasis, positive skin tests and precipitins, and it can arise in lungs bearing old cavities.
Step 3: Recurrent pneumonia is not part of the classic ABPA picture, which is hypersensitivity rather than repeated infection. Hence the feature not seen is recurrent pneumonia.
\[\boxed{\text{Recurrent pneumonia}}\]
Step 2: ABPA is an allergic, IgE-driven reaction to Aspergillus in asthmatic airways. Expected findings are very high serum IgE, fleeting pulmonary infiltrates, blood eosinophilia, central bronchiectasis, positive skin tests and precipitins, and it can arise in lungs bearing old cavities.
Step 3: Recurrent pneumonia is not part of the classic ABPA picture, which is hypersensitivity rather than repeated infection. Hence the feature not seen is recurrent pneumonia.
\[\boxed{\text{Recurrent pneumonia}}\]
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