Document Detail


Etiologic considerations of nonspecific pleuritis.
MedLine Citation:
PMID:  1807366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
N J Kim; S C Hong; J O Kim; J W Suhr; S Y Kim; H K Ro
Related Documents :
7330796 - Multiple bronchial stenoses: treatment by mechanical dilatation.
6767366 - A radiologic reevaluation of gout: a study of 2,000 patients.
491336 - Mycetomas in pulmonary sarcoidosis: non-surgical management.
3177566 - Course and outcome of ocular sarcoidosis.
8989076 - Assessment of the motor pathway to the diaphragm using cortical and cervical magnetic s...
22553696 - Bilateral scleromalacia perforans and peripheral corneal thinning in wegener's granulom...
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    
Affiliation:
Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Female
Humans
Male
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.