Allergic bronchopulmonary aspergillosis in a patient with ankylosing spondylitis treated with adalimumab

被引：0

作者：

Suzuki, Yudai ^{[1
]}

Takasaka, Naoki ^{[1
]}

Matsubayashi, Sachi ^{[1
]}

Kojima, Ayako ^{[1
]}

Shinfuku, Kyota ^{[1
]}

Hasegawa, Tsukasa ^{[1
]}

Yamada, Masami ^{[1
]}

Fujisaki, Ikumi ^{[1
]}

Seki, Aya ^{[1
]}

Seki, Yoshitaka ^{[1
]}

Ishikawa, Takeo ^{[1
]}

Kuwano, Kazuyoshi ^{[2
]}

机构：

[1] Jikei Univ, Div Resp Dis, Dept Internal Med, Daisan Hosp, 4-11-1 Izumihoncho Komae, Tokyo 2018601, Japan

[2] Jikei Univ Hosp, Div Resp Dis, Dept Internal Med, Tokyo, Japan

来源：

RESPIROLOGY CASE REPORTS | 2021年 / 9卷 / 08期

关键词：

Adalimumab; allergic bronchopulmonary aspergillosis; ankylosing spondylitis; anti-tumour necrosis factor-alpha antibody;

D O I：

10.1002/rcr2.805

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

We herein report a case of allergic bronchopulmonary aspergillosis (ABPA) that occurred in a man treated with adalimumab for ankylosing spondylitis (AS). A 69-year-old man with a history of ankylosing spondylitis treated by adalimumab, an anti-tumour necrosis factor-alpha (TNF-alpha) antibody, developed cough and wheezing. Chest computed tomography showed obstruction of dilated left upper lobe bronchus by high attenuation mucus as well as central bronchiectasis. Both Aspergillus-specific immunoglobulin E (IgE) and Aspergillus precipitating antibody were positive and Aspergillus fumigatus was detected in a sputum culture. According to the new diagnostic criteria, the patient was diagnosed with ABPA. His condition rapidly improved after the withdrawal of adalimumab and initiation of prednisolone and itraconazole. Anti-TNF-alpha antibody might cause ABPA through both aggravation of the host's T-helper 2 immunological response and anti-fungal response.

引用

页数：4

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