All the following are true about bronchopulmonary aspergillosis except
The predominant clinical presentation of ABPA is an asthmatic phenotype, often accompanied by cough with production of brownish plugs of mucus. ABPA has also been well described as a complication of cystic fibrosis. A workup for ABPA may be beneficial in patients who carry a diagnosis of asthma but have proven refractory to usual therapy. ABPA is a distinct diag-nosis from simple asthma, characterized by prominent peripheral eosinophilia and elevated circulating levels of IgE (>417 IU/mL). Ref Harrison 19th edition pg 1686
Central bronchiectasis
Pleural effusion
Asthma
Eosinophilia
Respiratory system