This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Respiratory, Subject name: Medicine
Allergic bronchopulmonary aspergillosis is characterized by all EXCEPT 
Select and explain. 
A. Bronchial asthma, B. Pleural effusion, C. Centra bronchiectasis, D. Not respond to steroid
D: Not respond to steroid
Answer: D: Not respond to steroid 
Explanation: (Not respond to steroid) (241-CMDT-10) (1259-H17th)* High doses of prednisone for at least 2 months is treatment of choice"* ABPA occurs in atopic asthmatic (particularly glucocorticoid dependent) individuals of age 20-40 years and non asthmatic individuals eg cystic fibrosisDiagnostic criteria for Bronchopulmoanry-AspergillosisPrimarySecondaryi. A clinical h/o Asthma**ii. Peripheral eosinophilea**iii. Immediate skin reactivity to aspergillus antigeniv. Precipitating Ab to aspergillus antigenv. |S.IgEvi. Pulmonary infiltrates* (transient or fixed)vii. Central bronchiectasis*** Identification of Asp.antigin sputum* H/o brown flesked sputum* Late skin reactivity to asp.antigen* Patients with corticosteroid dependent may benefited from itraconazole without toxicity* TRANSDATES PLEURAL EFFUSION (283-CMDT-10) causes CHF (90% of cases), cirrhosis with ascites, Nephrotic syndrome, peritoneal dialysis, Myxedema, Acute atlectasis, constrictive pericarditis, SVC obstruction, pulmonary embolism* Pleural tapping in mid-axillary line, muscle NOT pierced is Transversus thoracis (Sternocostalis)**