Conversation: The conversation between human and AI assistant.
[|Human|] Hi Im 53 years old, female, I suffer from suspect allergic aspergillosis and congenital bronchiectases. I often spit sort of stones, their cytological examination says there are many polimorphonucleates, is there any relation between the latter and the formation of lithi?? Thank you bery much patrizia from Italy
[|AI|]  Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from-ABPA(Allergic Brohcho-pulmonary aspergilli) with congenital bronchiectasis.It's rather the existence of Congenital Bronchiectasis-with cavitation, which has predisposed you to APA with sputum stones/ or aspergilli neutrophil granulomas.Treatment-would be mainly with Itriconazole with Steroids, to reduce the impact of allergic aspergilli in broncopulomonary segments. These litchis in the sputum, are actually of thick mucoid balls with neutrophils and macrophages in the microscopic studies. This is because, neutrophils(polymorphoneucleocytes) and macrophages attack the aspergilli fungal infection, which occurs with reduced immunity from bronchiectasis infected cavities. So the reply to your query-That these litchis are directly related to the polymorphoneucleocytes found in the sputum. Plenty of fluids and Postural Chat Doctor.