RESUMEN
Allergic bronchopulmonary aspergillosis (ABPA) results from a hypersensitivity reaction to Aspergillus fumigatus colonization of airways in patients with asthma or cystic fibrosis. Our patient is a 47-year-old female with a history of asthma and nonadherence to medications who presented with frequent asthma exacerbations. She required intubation three times within six months, labeled as asthma exacerbation due to nonadherence to medications until she was finally diagnosed with and successfully treated for ABPA. She was tested for ABPA very late as the medication nonadherence was thought to be the sole cause of repeated asthma exacerbations during previous hospitalizations. This case illustrates the importance of maintaining a high index of suspicion for ABPA in recurrent asthma exacerbation even in the setting of medical nonadherence.
RESUMEN
The association between aortic stenosis and angiodysplastic gastrointestinal bleed is known as Heyde syndrome. It was first described in 1958 and has since received further medical attention. We present a case of an 86-year-old lady with a history of severe aortic stenosis that was admitted with gastrointestinal bleeding secondary to colonic angiodysplasia. A review of the literature showed mixed opinions with respect to the idea of causation versus coincidence; both theories are valid. However, studies that supported causation had a bigger study population and overall seem to be more plausible.
