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Not seen in allergic pulmonary aspergillosis is
High IgE level
Occurrence in patients with old cavitary lesions
Correct Answer - D
Explanation
A. High IgE level: Elevated IgE levels are commonly seen in ABPA. This is because IgE antibodies are produced in response to Aspergillus antigens in patients with ABPA.
B. Recurrent pneumonia: While ABPA might lead to symptoms mimicking pneumonia (like cough, fever, and malaise). The inflammatory response due to ABPA can resemble pneumonia on imaging and symptomatically. However, this is not the same as "recurrent bacterial pneumonia."
C. Occurrence in patients with old cavitary lesions: Aspergillomas can develop in pre-existing cavities in the lung. These cavities can be from old tuberculosis lesions or other causes. Aspergillomas are masses of Aspergillus fungi that form in these cavities but are not specific to ABPA.
D. Pleural effusion: Pleural effusion, which is the accumulation of fluid in the space between the lung and the chest wall, is not a typical feature of ABPA.