Document Detail

Etiologic considerations of nonspecific pleuritis.
MedLine Citation:
PMID:  1807366     Owner:  NLM     Status:  MEDLINE    
Twenty-three patients with nonspecific pleuritis were studied to determine clinical outcome. After a mean follow-up period of 6 months (1 to 36 months), a diagnosis was reached in 17 patients, while 6 patients remained unknown. The causes of the nonspecific pleuritis diagnosed on initial pleural biopsy were tuberculosis (11 patients, 48%), neoplasm (2 patients, 8.7%), parapneumonic effusion (1 patient), subphrenic abscess (1 patient), congestive heart failure (1 patients), and nephrotic syndrome (1 patient). The diagnosis was made by therapeutic trials (tuberculosis: 11 patients, parapneumonic effusion: 1 patient, congestive heart failure: 1 patient), by repeat pleural biopsy in 1 hepatoma, by open thoractomy in 1 lung cancer, by exploratory laparotomy in 1 subphrenic abscess, and by kidney biopsy in 1 nephrotic syndrome. The WBC counts (more than 2,000/mm3) and lymphocyte percentage (more than 60%) in the pleural fluid were significantly elevated in the patients with tuberculosis compared to those with malignant pleurisy, and other laboratory data were meaningless. As a result of this investigation, we suggest that tuberculous pleurisy is the most common cause of nonspecific pleuritis in Korea and that therapeutic trial with antituberculous medication for patients with high WBC count and lymphocyte percent in pleural fluid can help to locate the nonspecific pleuritis.
N J Kim; S C Hong; J O Kim; J W Suhr; S Y Kim; H K Ro
Related Documents :
6767366 - A radiologic reevaluation of gout: a study of 2,000 patients.
16618606 - Late-onset and rare far-advanced pulmonary involvement in patients with sarcoidosis in ...
3718036 - Pleuroperitoneal shunt in recurrent pleural effusions.
17723806 - Use of tissue expanders in adult postpneumonectomy syndrome.
23052486 - The prevalence of fibromyalgia in patients with behçet's disease and its relation with...
12631136 - Grade of chronic renal failure, and acute and long-term outcome after percutaneous coro...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Korean journal of internal medicine     Volume:  6     ISSN:  1226-3303     ISO Abbreviation:  Korean J. Intern. Med.     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8712418     Medline TA:  Korean J Intern Med     Country:  KOREA    
Other Details:
Languages:  eng     Pagination:  58-63     Citation Subset:  IM    
Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Diagnosis, Differential
Middle Aged
Pleural Effusion / complications,  diagnosis*
Pleural Effusion, Malignant / complications,  diagnosis
Pleurisy / diagnosis,  etiology*
Tuberculosis, Pleural / complications,  diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Percutaneous mitral valvuloplasty using the double balloon technique: immediate results and determin...
Next Document:  The urine urokinase concentration in end stage renal disease with acquired renal cyst.