| Rosenberg–Patterson criteria [73,#74] |
| Major criteria |
| Asthma |
| Presence of transient pulmonary infiltrates (fleeting shadows) |
| Immediate cutaneous reactivity to Aspergillus fumigatus |
| Elevated total serum IgE |
| Precipitating antibodies against A. fumigatus |
| Peripheral blood eosinophilia |
| Elevated serum IgE and IgG to A. fumigatus |
| Central/proximal bronchiectasis with normal tapering of distal bronchi |
| Minor criteria |
| Expectoration of golden brownish sputum plugs |
| Positive sputum culture for Aspergillus species |
| Late (Arthus type) skin reactivity to A. fumigatus |
| Minimal essential criteria [19] |
| Asthma |
| Immediate cutaneous reactivity to A. fumigatus |
| Total serum IgE >1000 ng·mL−1 (417 kU·L−1) |
| Elevated specific IgE-/IgG to A. fumigatus |
| Central bronchiectasis in the absence of distal bronchiectasis |
| Truly minimal criteria [18] |
| Asthma |
| Immediate cutaneous reactivity to A. fumigatus |
| Total serum IgE >1000 ng·mL−1 (417 kU·L−1) |
| Central bronchiectasis in the absence of distal bronchiectasis |
| ISHAM working group [68] |
| Predisposing conditions |
| Bronchial asthma |
| Cystic fibrosis |
| Obligatory criteria (both should be present) |
| Type I Aspergillus skin test positive (immediate cutaneous hypersensitivity to Aspergillus antigen) or elevated IgE levels against A. fumigatus |
| Elevated total IgE levels (>1000 IU·mL−1)# |
| Other criteria (at least two of three) |
| Presence of precipitating or IgG antibodies against A. fumigatus in serum |
| Radiographic pulmonary opacities consistent with ABPA |
| Total eosinophil count >500 cells·μL−1 in steroid naïve patients (may be historical) |
ISHAM: International Society for Human and Animal Mycology. #: if the patient meets all other criteria an IgE value <1000 IU·mL−1 may be acceptable.