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F. Eun-Hyung Lee, MD; William Aufferman, MD; David Berkowitz, MD
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FINANCIAL/NONFINANCIAL DISCLOSURES: See earlier cited article for author conflicts of interest.

CORRESPONDENCE TO: F. Eun-Hyung Lee, MD, Division of Pulmonary, Allergy, and Critical Care Medicine, Emory University, 615 Michael St, Ste 205, Atlanta, GA 30322


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4):1110. doi:10.1016/j.chest.2016.02.644
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In response to our recent article in CHEST, Agarwal et al aptly point out the radiologic criteria for the diagnosis of high-attenuation mucus in allergic bronchopulmonary aspergillosis. High-attenuation mucus is a very specific finding for allergic pulmonary aspergillosis (ABPA). The mucus in ABPA is often of higher attenuation. However, mucus with an attenuation > 70 Hounsfield units is much more specific for ABPA, as noted in the correspondence from Agarwal et al, and is associated with poor outcomes., We thank the authors for this clarification, as well as the helpful citations for the interested reader.

References

Alikhan M.M. .Kraft C.S. .Shih J.A. .Lee F.E. .Auffermann W.F. .Berkowitz D.M. . A 68-year-old musician with cough, wheezing, and a lung mass. Chest. 2015;148:e181-e183 [PubMed]journal. [CrossRef] [PubMed]
 
Agarwal R. .Gupta D. .Aggarwal A.N. .Saxena A.K. .Chakrabarti A. .Jindal S.K. . Clinical significance of hyperattenuating mucoid impaction in allergic bronchopulmonary aspergillosis: an analysis of 155 patients. Chest. 2007;132:1183-1190 [PubMed]journal. [CrossRef] [PubMed]
 
Agarwal R. .Khan A. .Gupta D. .Aggarwal A.N. .Saxena A.K. .Chakrabarti A. . An alternate method of classifying allergic bronchopulmonary aspergillosis based on high-attenuation mucus. PloS One. 2010;5:e15346- [PubMed]journal. [CrossRef] [PubMed]
 

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References

Alikhan M.M. .Kraft C.S. .Shih J.A. .Lee F.E. .Auffermann W.F. .Berkowitz D.M. . A 68-year-old musician with cough, wheezing, and a lung mass. Chest. 2015;148:e181-e183 [PubMed]journal. [CrossRef] [PubMed]
 
Agarwal R. .Gupta D. .Aggarwal A.N. .Saxena A.K. .Chakrabarti A. .Jindal S.K. . Clinical significance of hyperattenuating mucoid impaction in allergic bronchopulmonary aspergillosis: an analysis of 155 patients. Chest. 2007;132:1183-1190 [PubMed]journal. [CrossRef] [PubMed]
 
Agarwal R. .Khan A. .Gupta D. .Aggarwal A.N. .Saxena A.K. .Chakrabarti A. . An alternate method of classifying allergic bronchopulmonary aspergillosis based on high-attenuation mucus. PloS One. 2010;5:e15346- [PubMed]journal. [CrossRef] [PubMed]
 
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