Study on Diagnostic Approach for Pleural Effusion with Varied Etiology
Study on Diagnostic Approach for Pleural Effusion with Varied Etiology
DOI:
https://doi.org/10.70284/njirm.v8i4.1285Keywords:
Pleural effusion, Transudate, Excudate, TuberculosisAbstract
Background: Pleural effusion is a commonest condition in clinical practice. Determining the cause of pleural effusion is not always easy. Proper history, clinical examination and investigations including pleural fluid studies may reveal etiological diagnosis of pleural effusion. Objective: In this study an attempt has been made to arrive at the etiological diagnosis by clinical profile of pleural effusion. Methods: A prospective study of 50 cases of pleural effusion was carried out in Department of Medicine, over period of two year. Cases admitted in Medicine and chest and TB ward were studied. The diagnosis of pleural effusion was done by detail history, physical examination and was then confirmed by chest x ray. Etiological diagnosis of pleural effusion was then confirmed by pleural fluid studies, like PH, pleural fluid protein, cytology. Results: Incidence of pleural effusion was more common in age group 20 – 50 years. Male predominance was more than females in both the groups. Tuberculosis was the commonest cause of exudative pleural effusion. Majority of tuberculous pleural effusion were right sided. Conclusion: Tuberculous pleural effusion is most common etiology followed by parapnemonic. Tuberculosis was the commonest cause of exudative pleural effusion. [Shrikant G NJIRM 2017; 8(4):63-67]
References
Pleural effusion: The diagnostic separation of
transudates and exudates. Annals of internal
medicine. 1972; 77(4):507-13.
2. Anthony Seaton: Crofton and Douglas’s
Respiratory Disease 5th edition. 2000;43:1152-80.
3. Harrison’s principles of Internal Medicine 16th
edition. 2004;245:1565-9.
4. Light R.W. Macgregor M.I. Luchsinger P.C. et al
Pleural effusion: The diagnostic separation of
transudates and exudates. Ann Intern Med.
1972;77(4):507-13.
5. Ram K.N. and Jaya Sing R.S. Diagnostic value of
cholesterol in pleural effusion. Japi 1995;
43(11):748 – 750.
6. Hamm H., Brohan V., Bohmer R. et al Cholesterol
in pleural effusion. A diagnostic aid. Chest 1987;92
(2):296 – 302.
7. Valdes L. Pose A. Gonzalez B. The
usefulness of cholesterol determination in
etiology of pleural effusion. Ann. Med. Interna
1989;6 (11):580 – 584.
8. Burgess L.J, Martiz F.J. amd Taljaard J.J.
Comparative analysis of biochemical parameters
uses to distinguish between pleural transudate
and exudate. Chest 1995; 107 (6):1604 – 1609.9. S. Anchez Hern andez, Ussettigil P. Delgado cirerol
V. et al. Cholesterol in pleural fluid, its usefulness
in differentiating between exudats and
transudates. Arch. Bronconeumol 1994;30 (5):240
– 244.
10. Gil Suay V. et al. Pleural cholesterol in
differnentiating transudate and exudate. A
prospective study of 232 cases. Respiration
1995;62 (2):57 – 63.
11. Ortega L., Heredia J.L. Armengol R. et al. The
differential diagnosis between pleural exudate
and transudate. The value of cholesterol. Med.
Clinics (Barc) 1991;96(10):367 – 70.
12. Kataria YP, Khurshid I. Adenosine deaminase in
the diagnosis of tuberculous pleural effusion.
Chest. 2001;120(2):334-6.
13. Ebstein et al. Tuberculous pleural effusion. Chest
Jan. 1987;91(1);106–108.
14. Holten K. Diagnostic value of some biochemical
pleural fluid examination. Scana. J. Resp. diseases
(Supp.). 1968; 63:121-126.
