management

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The aim of treatment is twofold:

  • to suppress the immune reaction to the fungus
  • to control asthma

The immune reaction is suppressed using oral steroids:

  • prednisolone 30 to 45 mg per 24 hours is given to reduce inflammation until the condition has resolved clinically and radiologically
  • maintenance therapy consists of prednisolone 20 mg on alternate days

Asthmatic control is along conventional lines with the use of bronchodilators and inhaled steroids.

Mucus plugs may be removed by bronchoscopic aspiration.

It is almost impossible to eradicate the fungus.

Last reviewed 01/2018

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