Diagnostic uncertainty between cystic fibrosis and allergic bronchopulmonary aspergillosis in a young adult male: a case report

Pranay Giripunje; Harsimar Singh; Sunita Roy; Uttam Kumar Paul

doi:10.18203/2349-3933.ijam20252538

Authors

Pranay Giripunje Department of Medicine, MGM Medical College, Kishanganj, Bihar, India
Harsimar Singh Department of Medicine, MGM Medical College, Kishanganj, Bihar, India
Sunita Roy Department of Medicine, MGM Medical College, Kishanganj, Bihar, India
Uttam Kumar Paul Department of Medicine, MGM Medical College, Kishanganj, Bihar, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20252538

Keywords:

Cystic fibrosis, Allergic bronchopulmonary aspergillosis, Bronchiectasis, Chronic rhinosinusitis

Abstract

A 23-year-old male presented with persistent respiratory issues and HRCT findings indicating bronchiectasis. Both cystic fibrosis (CF) and allergic bronchopulmonary aspergillosis (ABPA) were considered due to overlapping clinical and radiological features. Notably, elevated Aspergillus-specific IgE levels supported ABPA, while systemic and reproductive features pointed towards CF. This case exemplifies the diagnostic complexity when two conditions with converging presentations must be carefully distinguished.

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