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Survey of criteria used to diagnose allergic bronchopulmonary aspergillosis in cystic fibrosis

Editor,—Allergic bronchopulmonary aspergillosis (ABPA) creates a difficult diagnostic and management problem in patients with cystic fibrosis (CF). The six major diagnostic criteria for ABPA in CF were adapted from asthma guidelines.1Retrospective studies report significant variability in prevalence and the numbers of criteria for diagnosis.2 This is important as CF databases (UK CF database, European Registry, and the North American CF database) report ABPA frequency either without ascertaining the criteria used, or using limited diagnostic criteria. We have assessed consensus current practice of criteria used by UK clinicians to support a diagnosis of ABPA and how cases were treated. …