IGHE and allergic bronchopulmonary aspergillosis: Based on the established diagnostic criteria for allergic bronchopulmonary mycosis [2], the patient meets six key components - namely asthma-like symptoms, peripheral eosinophilia exceeding 500/μL, elevated total IgE of 417 IU/mL or higher, a positive sputum culture identifying Penicillium citrinum, central bronchiectasis on CT, and mucus plugs identified on CT - supporting a diagnosis of allergic bronchopulmonary mycosis caused by Penicillium citrinum.