Profuse expectoration of two months durations and clubbing may be seen: (A) Sarcoidosis, (B) Polyaeritis nodosa, (C) Pulmonary aery hypeension, (D) Allergic bronchopulmonary aspergillosis
Answer is D. Allergic bronchopulmonary aspergillosis represents a hypersensitivity reaction to Aspergillus fumigatus.Episodes of bronchial obstruction with mucous plugs leading to coughing 'fits',breathlessness,pulmonary infiltrates.It can result in the development of bronchiectasis.Clubbing can be seen in this case. Reference:Harrison's Medicine-18th edition,page no:1658;Davidson's Medicine-22nd edition,page no:697.