Middle aged women with uncontrolled Asthma, diagnosed later on ABPA after investigating IgE levels and IgG specific for aspergillosis with HRCT thorax.
Patient put on oral corticosteroids according to weight with inhalers. After one month her symptoms resolves with PFT improves (FEV1 = 40% to 104% ) but IgE levels increases instead of decreasing.
Earlier IgE level was 2000 IU/ml
With treatment after one month IgE levels are 2400 IU/ml.
How should we proceed further?