What is the prognosis of mold-related allergic bronchopulmonary aspergillosis (ABPA) and allergic bronchopulmonary mycosis (ABPM)?

Updated: Sep 18, 2017
  • Author: Shih-Wen Huang, MD; Chief Editor: Harumi Jyonouchi, MD  more...
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Answer

According to a Northwestern University follow-up study, if patients' conditions are properly diagnosed and treated, especially with a systemic corticosteroid, most should not progress beyond stage IV clinical disease. [30, 31] However, once patients enter stage V (fibrosis), the condition is almost irreversible. Those patients may also develop emphysema, cor pulmonale, and right heart failure. Early and aggressive treatment with a corticosteroid is critical in preventing advancement of the disease. Whether adding an antifungal agent improves the prognosis is debatable.


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