<prompt> Answer this question truthfullyWhat condition is suggested by the presence of a productive cough, eosinophilia or high IgE levels in a patient with asthma or cystic fibrosis?  <response>: <reason> The presence of a productive cough, eosinophilia or high IgE levels in a patient with asthma or cystic fibrosis is suggestive of Allergic Bronchopulmonary Aspergillosis ABPA. 