Table 1 Diagnostic criteria for ABPA by Rosenberg and Patterson (1977)

Episodic bronchial obstruction (asthma)

Peripheral blood eosinophilia

Immediate skin reactivity to Aspergillus antigen

Precipitating antibodies against Aspergillus antigen

Elevated serum immunoglobulin E concentrations

History of pulmonary infiltrates (transient or fixed)

Central bronchiectasis

Secondary

Aspergillus fumigatus in sputum (by repeated culture or microscopic examination)

History of expectoration of brown plugs or flecks

Arthus reactivity (late skin reactivity) to Aspergillus antigen