You seem to have been diagnosed as a case of asthma with bronchiectasis
with on and off pneumonia episodes. A diagnosis of ABPA (Allergic Broncho Pulmonary Aspergillosis
) can be considered in such a scenario. Do get your total serum IgE levels, Serum IgG and IgE specific for aspergillus
, sputum fungus examination. If it is detected then oral steroid therapy will have to be started to which your condition should respond. Regrading the autoimmune profile, if your physician is suspecting then collagen vascular diseases are a possibility for which you may undergo a extranuclear antigen profile. For episodes of pneumonia antibiotics will have to be taken as per culture sensitive reports of the organisms isolated from the sputum/ bronchoscopy
samples. Also you may consider yearly flu shots and 5 yearly pneumococcal vaccination
for prevention of repeated infections.
Dr. Gyanshankar Mishra
MBBS MD DNB