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Na Moon Jun MJ Respiratory Division, Department of Internal Medicine, Konyang University College of Medicine, Daejeon, - - 2014
Pleural effusion is not a rare disease in Korea. The diagnosis of pleural effusion is very difficult, even though the patients often complain of typical symptoms indicating of pleural diseases. Pleural effusion is characterized by the pleural cavity filled with transudative or exudative pleural fluids, and it is developed by ...
Relevancy Score: Relevancy Score: 1000
Hwang Ji Young - - 2003
Isolated pleural effusion, so called primary pleural effusion denotes a pleural effusion without documented etiology such as a cardiac, inflammatory, iatrogenic problem or fetal hydrops. Chromosomal anomaly such as Down syndrome may be associated with isolated pleural effusion. The content of the isolated pleural effusion is mostly chylous, and isolated ...
Relevancy Score: Relevancy Score: 951
Jo Yong-Min - - 2011
A 29-year-old man suffering from dyspnea and eosinophilic pleural effusion after being on warfarin for pulmonary thromboembolism for a period of one month, was readmitted to our hospital. Etiology of pleural effusion other than warfarin was excluded. To the best of our knowledge, this is the first case of warfarin-induced ...
Relevancy Score: Relevancy Score: 939
Lim S C - - 2000
The purpose of this study is to assess the usefulness of soluble vascular endothelial growth factor (VEGF) in the effusions of patients with malignant and tuberculous diseases. Using a sandwich enzyme-linked immunoadsorbent assay, VEGF concentration was measured in malignant (n=17) and tuberculous (n=11) pleural effusions. Pleural biopsy, cytology or microbiological ...
Relevancy Score: Relevancy Score: 906
Fisk M - - 2013
A pleural effusion is defined as an excess of pleural fluid within the pleural space. It can be detected by clinical examination if large enough and by different radiological modalities of the thorax, including chest radiograph, ultrasound or computed tomography. A pleural effusion (unilateral or bilateral) is a common clinical ...
Relevancy Score: Relevancy Score: 900
Light Richard W - - 2011
There are many diseases that cause pleural effusions. When a patient with a pleural effusion is first evaluated, one should determine if the patient has a transudate or an exudate. A diagnostic approach to the patient with an undiagnosed pleural effusion is outlined. The most common pleural effusions including those caused ...
Relevancy Score: Relevancy Score: 896
Mohapatra Prasanta R PR Department of Pulmonary Medicine, Government Medical College and Hospital, Chandigarh, - - 2013
We report a case of middle-aged female presenting with mediastinal widening on chest radiograph owing to pleural effusion. The pleural effusion presenting as mediastinal widening on chest radiograph is rarely reported.
Relevancy Score: Relevancy Score: 882
Beers Sara L - - 2007
The ability to recognize, understand, and treat pleural effusions in the pediatric population is important for pediatric health care providers. The topic of pleural effusions has been extensively studied in the adult population. In recent years, these studies have extended into the pediatric population. This review describes pleural effusions in ...
Relevancy Score: Relevancy Score: 881
Gathwala Geeta - - 2011
Congenital isolated pleural effusion is a rare cause of respiratory distress in neonates. It is usually chylous. Herein, we report a rare case of nonchylous congenital idiopathic pleural effusion.
Relevancy Score: Relevancy Score: 879
Berghmans T - - 2002
A Spanish man is diagnosed with a non-small cell lung cancer with pleural extension. A chemotherapy combining cisplatin and gemcitabine allows obtaining an excellent partial remission. A contralateral pleural effusion is noted in a context of weight loss and fever. The differential diagnosis of pleural effusion is discussed.
Relevancy Score: Relevancy Score: 869
Kim Y M - - 2000
While pleural effusion in multiple myeloma is relatively infrequent, myelomatous pleural effusion is extremely rare. We experienced a 61-year-old woman with IgD-lambda multiple myeloma and pleural effusion. The diagnosis was made originally by pleural biopsy, pleural fluid cytology and immunoelectropheresis of pleural fluid. Transient improvement of the pleural effusion was ...
Relevancy Score: Relevancy Score: 865
Singh Urvinderpal - - 2013
A case of bilateral eosinophilic pleural effusion with coincidental intestinal infestation of giardia lamblia is being reported. After reviewing the possible causes of this type of pleural effusion, no clinical or laboratory data were obtained which could explain this condition except giardiasis. Moreover the clearance of pleural effusion with the ...
Relevancy Score: Relevancy Score: 844
Chopra Vishal - - 2008
A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion. This effusion seemed to be a paradoxical response as it resolved on follow up.
Relevancy Score: Relevancy Score: 841
Mitamura Yasutaka - - 2013
Antiphospholipid syndrome (APS) with pleural effusion is extremely rare. A 75-year-old man was admitted to our hospital for spreading erythema on his trunk and extremities, as well as dyspnea. One year before admission, he had visited us with a 1-year history of erythema and purpura on his legs and occasional ...
Relevancy Score: Relevancy Score: 832
Kalomenidis Ioannis - - 2003
Eosinophilic pleural effusions, defined as a pleural effusion that contains at least 10% eosinophils, may be caused by almost every condition that can cause pleural disease. Eosinophilic pleural effusion occurs most commonly during conditions associated with the presence of blood or air in the pleural space, infections, and malignancy. Drug-induced ...
Relevancy Score: Relevancy Score: 827
Tattersall M - - 1992
Pleural effusions are a common development in patients with cancer. The optimal means of control are not defined, but systemic treatment is often effective in patients with drug-sensitive tumors. Local treatments advocated in the management of malignant pleural effusions differ in the means of drainage, the length of time pleural ...
Relevancy Score: Relevancy Score: 824
Lee Keu Sung KS Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, - - 2014
Apoptosis plays a role in the development of pleural effusion. Caspase-cleaved cytokeratin 18, a marker for epithelial cell apoptosis, was evaluated in pleural effusion. A total of 79 patients with pleural effusion were enrolled. The underlying causes were lung cancer (n=24), parapneumonic effusion (n=15), tuberculous effusion (n=28), and transudates (n=12). ...
Relevancy Score: Relevancy Score: 820
Jadhav Ashish Anantrao - - 2009
To evaluate the value of pleural fluid alkaline phosphatase and pleural fluid/serum alkaline phosphatase ratio for the purpose of differentiating tuberculous from nontuberculous pleural effusion. A total of 60 indoor patients, admitted to our hospital, having pleural effusion and suffering from varying etiologies, were included in this study. According to ...
Relevancy Score: Relevancy Score: 820
Verma S K - - 2008
To study the value of adenosine deaminase level in tuber-cular pleural effusion. A hospital based observational study. Out and In patients service of department of Tuberculosis & Chest Diseases, MLN Medical College Allahabad. 50 consecutive patients of pleural effusion, who were above the age of 12 years, were studied. Pleural ...
Relevancy Score: Relevancy Score: 816
Petrikovsky B M - - 1991
Three consecutive cases of isolated pleural effusion in aneuploid fetuses are reported. The presence of pleural effusion in trisomy 13 had not been described in the literature previously. Early development of pleural effusion is usually associated with fetal hydrops and carries a poor prognosis. Late development of pleural effusion can ...
Relevancy Score: Relevancy Score: 815
Shank J C - - 1978
Pleural effusion unassociated with other radiologic evidence of disease is a challenging diagnostic problem. With small effusion, only silhouetting of the diaphragm may be noted. A lateral decubitus view will often be helpful. After a careful history, physical examination and selected hematologic studies, diagnostic thoracentesis is indicated. The following determinations ...
Relevancy Score: Relevancy Score: 809
Schlesinger Shira A - - 2012
Pleural effusions are a common finding in emergency departments, with cytologic analysis traditionally required for definitive diagnosis. This article describes a classic sonographic appearance of tuberculous pleural effusion.
Relevancy Score: Relevancy Score: 808
Gourgoulianis K I - - 1995
The conditions of labour appear to favour the development of pleural effusion. The frequency of postpartum pleural effusion was investigated in this study using thoracic ultrasonography. Thirty one postpartum and 22 healthy nonpregnant women of the same age-group were examined, both supine and seated, via an intercostal approach. Seven of ...
Relevancy Score: Relevancy Score: 804
Nuwal Paras - - 2012
Pleural effusion in patients with chronic myeloid leukemia (CML) is very rare and poorly understood. We report here a 26-year-old male patient having CML and presenting with pleural effusion as the first clinical sign. The possible mechanism of pleural effusion in CML, the cytological interpretive problem and the clinical significance ...
Relevancy Score: Relevancy Score: 803
Toffart Anne-Claire - - 2009
Pulmonary signs are common in Wegener's granulomatosis (WG). However, an initial presentation including pleural effusion has not been described. We describe a case of WG in which pleural effusion was the first clinical manifestation. A 45-year-old man with dorsal pain presented with pleural thickening and effusion, and a visible nodule ...
Relevancy Score: Relevancy Score: 802
Hamal A B - - 2013
Objectives. To study the diagnostic value of pleural fluid cholesterol in differentiating transudative and exudative pleural effusion. To compare pleural fluid cholesterol level for exudates with Light's criteria. Design. Cross sectional descriptive study. Settings. Medical wards of Tribhuvan University Teaching Hospital. Methods. Sixty two cases of pleural effusion with definite ...
Relevancy Score: Relevancy Score: 801
Light R W - - 1977
Many different conditions result in the accumulation of pleural fluid. A diagnostic thoracentesis should be performed on all patients with pleural effusion from whom pleural fluid can be easily obtained. Empirically we have found that when the pleural effusion is more than 10 mm thick on the lateral decubitus roentgenogram, ...
Relevancy Score: Relevancy Score: 798
Akarsu Saadet - - 2005
The aim is to examine whether the changes in pleural fluid interleukin (IL)-1beta, IL-2, IL-6, and IL-8 levels were significant in differential diagnosis of childhood pleural effusions. IL-1beta, IL-2, IL-6, and IL-8 levels in pleural fluids of all 36 patients were measured. The levels of IL-1beta, IL-2, IL-6, and IL-8 ...
Relevancy Score: Relevancy Score: 796
Ghosh Sharmila - - 2006
Serous effusions in multiple myeloma are uncommon but a myelomatous pleural effusion occurring in these patients is extremely rare. Here we report a rare case of a 38 years lady who was diagnosed to have multiple myeloma and subsequently developed pleural effusion. The myelomatous nature of the effusion was first ...
Relevancy Score: Relevancy Score: 796
Meoli A - - 1997
Malignant pleural effusions due to multiple myeloma are rare. Effusion in such patients is usually due to congestive heart failure or another process. Malignant myeloma cells identified in cytologic examination of the pleural fluid or by pleural biopsy establish the diagnosis of a myelomatous effusion. This finding portends a poor ...
Relevancy Score: Relevancy Score: 790
Idris L - - 2011
Pleural effusion is a common medical condition which often presents on the AMU. There are more than 50 recognised causes of pleural effusion which include diseases local to the pleura or underlying lung, systemic conditions, organ dysfunction and drugs.¹ The normal pleural space contains approximately 1mL of fluid. The balance ...
Relevancy Score: Relevancy Score: 790
Navaz Alam K - - 2013
Filaria has a wide spectrum of presentation. We hereby present a case of Filarial pleural effusion that is a rarity in itself. Filarial lung involvement is usually in the form of tropical pulmonary eosinophilia with pulmonary infiltrates and peripheral eosinophilia, unlike our case where isolated pleural effusion of Filarial etiology ...
Relevancy Score: Relevancy Score: 790
Ullmer E - - 1998
This article gives an overview of the aetiology, diagnostic evaluation and treatment of pleural effusions. A systematic approach including radiological and sonographic examinations and pleural fluid analysis is proposed with a view to selecting the most appropriate therapy. Common forms of exudative pleural effusions are explained in detail. For complicated ...
Relevancy Score: Relevancy Score: 789
Christopher M M - - 1987
The key to effective evaluation of pleural effusions lies in an understanding of the dynamic nature of its formation and alteration. Trying to fit a specimen neatly into a distinct diagnostic category will not only lead to frustration, but is often unnecessary or incorrect. Combined etiologies are common, and although ...
Relevancy Score: Relevancy Score: 785
Chetty K G - - 1985
A transudative pleural effusion develops when the systemic factors influencing the formation or absorption of the pleural fluid are altered. The pleural surfaces are not involved by the primary pathologic process. The diagnosis of transudative effusion is simple to establish by examining the characteristics of the pleural fluid. Transudates have ...
Relevancy Score: Relevancy Score: 779
Sánchez-Otero Nuria N Department of Biochemistry, Genetic and Immunology, Facultad de Biología, Universidad de Vigo, Vigo, - - 2013
Anti-tumor properties assigned to PEDF, beside its role as an inhibitor of angiogenesis, make it a promising candidate in the search of new biomarkers for malignancy. In this study levels of PEDF were investigated in pleural effusions from lung adenocarcinoma and benign inflammatory disease patients. The mean PEDF concentration in ...
Relevancy Score: Relevancy Score: 776
Owens M W - - 1995
A variety of diseases either directly or indirectly affect the pleura, resulting in the accumulation of pleural fluid. A pleural effusion develops whenever the influx of fluid into the pleural space is greater than the efflux. It is now clear that the parietal pleura has the primary role in the ...
Relevancy Score: Relevancy Score: 774
Yang Wei-Bing - - 2012
The objective of the present study was to investigate the presence of interleukin (IL)-27 in pleural effusions and to evaluate the diagnostic significance of pleural IL-27. The concentrations of IL-27 were determined in pleural fluids and sera from 68 patients with tuberculous pleural effusion, 63 malignant pleural effusion, 22 infectious ...
Relevancy Score: Relevancy Score: 773
Christie Neil A - - 2010
Pleural effusions are commonly encountered in clinical medicine. They can represent both a diagnostic and a therapeutic challenge. This article discusses the diagnostic modalities used to evaluate the patient with a pleural effusion. Also discussed are the therapeutic options for the 2 most common causes of pleural effusions encountered by ...
Relevancy Score: Relevancy Score: 771
Onadeko B O - - 1979
Experience with haemorrhagic pleural effusion in Nigerians is described. Sixty three cases selected from 283 cases of pleural effusion over a 15-year period were analysed. Haemorrhagic pleural effusion accounted for 22% of all cases of pleural effusion. Malignant cells were found in haemorrhagic fluid in 21% of cases. The commonest ...
Relevancy Score: Relevancy Score: 771
Aziz S - - 1992
Sixty patients of pleural effusion with different aetiology are described. Various microbiological and biochemical parameters were done simultaneously in blood and pleural fluid to differentiate tuberculosis and non-tuberculosis effusions. Some biochemical tests were thought to be helpful in differential diagnosis but no single parameter was found diagnostic. Routine investigations of ...
Relevancy Score: Relevancy Score: 770
Genofre Eduardo - - 2006
In spite of the progress in the diagnostic methods, about 20% of the pleural effusions may remain without a proper diagnosis after the use of conventional exams. In order to determine the origin of these effusions, alternative methods and invasive procedures shall be used aiming to determine the etiology of ...
Relevancy Score: Relevancy Score: 767
Medford A R - - 2005
Pleural disease remains a commonly encountered clinical problem for both general physicians and chest specialists. This review focuses on the investigation of undiagnosed pleural effusions and the management of malignant and parapneumonic effusions. New developments in this area are also discussed at the end of the review. It aims to ...
Relevancy Score: Relevancy Score: 766
Mermigkis Charalampos - - 2009
We report a case of an immunocompetent 18-year-old man with a massive hemorrhagic, exudative, lymphocytic pleural effusion. Blind transthoracic pleural biopsy showed granuloma formation, while the pleural fluid culture was positive for Mycobacterium tuberculosis, confirming the diagnosis of primary tuberculous pleuritis. A massive hemorrhagic pleural effusion is extremely rare in ...
Relevancy Score: Relevancy Score: 766
Yeo Chang Dong CD Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, - - 2013
Conventional biomarkers cannot always establish the cause of pleural effusions; thus, alternative tests permitting rapid and accurate diagnosis are required. The primary aim of this study is to assess the ability of pentraxin-3 (PTX3) in order to diagnose the cause of pleural effusion and compare its efficacy to that of ...
Relevancy Score: Relevancy Score: 760
Nagaraja M V - - 1992
The serum adenosine deaminase (ADA) level was estimated in 30 patients with pleural effusion and 18 healthy controls and was found to be significantly elevated in the former (P less than 0.001). The pleural fluid ADA level in tubercular pleural effusion was always above 50 U/L and was significantly higher ...
Relevancy Score: Relevancy Score: 760
Turton C W - - 1980
Pleural effusions develop following changes in capillary permeability, capillary hydrostatic pressure, plasma colloid osmotic pressure, or lymphatic drainage. Generalized fluid retention or a transudate suggests a systemic cause while an exudate suggests a local cause. The diagnosis can usually be established by clinical assessment, chest radiography, analysis of pleural fluid, ...
Relevancy Score: Relevancy Score: 757
Kastelik Jack A - - 2013
Malignancy is one of the most common causes of pleural effusion. Malignant pleural effusion is defined by the presence of malignant cells in the pleural fluid. Development of malignant pleural effusion usually defines advanced malignancy. Pathophysiology of malignant pleural effusion is not fully understood and may involve complex interactions between ...
Relevancy Score: Relevancy Score: 757
Gogia A - - 2005
Pleural effusions in multiple myeloma are relatively infrequent and more so myelomatous ones. We report a 66-year-old man who presented with multiple myeloma and a myelomatous right-sided pleural effusion. The diagnosis was made by repeated cytopathological pleural fluid examinations. The patient received one cycle of cyclophosphamide and methylprednisolone but despite ...
Relevancy Score: Relevancy Score: 756
Al-Anazi Awadh R - - 2005
OBJECTIVES: To describe haemorrhagic pleural effusion as a rare complication of brucellosis that finally needed lung decortication. CLINICAL PRESENTATION AND INTERVENTION: A 37-year-old female presented with a 1-week history of fever, dry cough and pleuritic chest pain. Physical examination showed signs of right pleural effusion and hepatosplenomegaly. Complete blood count ...
Relevancy Score: Relevancy Score: 755
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