ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Pseudochylous Pleural Effusion In Rheumatoid Arthritis: A Case Study
Filiz KURALAY*, İlknur HAKERLER**, Eyüp Sabri UÇAN**
* Dept. of Biochemistry, Medical School of Dokuz Eylül University,** Dept. of Chest Diseases, Medical School of Dokuz Eylül University, Izmir, TURKEY
Rheumatoid arthritis (RA) is heterogenous disorder with a spectrum of clinical severity ranging from mild arthritis to a crippling joint disease with involvement of internal organs. RA may be accompanied by pleural effusion. Pseudochylous or chyliform; or previously called, cholesterol pleural effusion, has been known since the last century, but not many cases have been described in the world literature. The most common cause of this pleural reaction is pneumothorax treatment or tuberculous pleurisy, but it has also been described in RA. In the present report, we describe a case of RA complicated by thick and fibrotic pleura and associated with pseudochylous effusion. Biochemical and cytological findings of pleural effusion involving cholesterol crystals were highly specific in pointing towards the determined diagnosis rheumatoid pleurisy. The existence of cholesterol crystals in pleural effusion(PE) eliminates the need of pleural biopsy in our case in which rheumatoid arthritis pleural effusion (RPE) diagnosed by means of anamnesis and physical examination the diagnosis was confirmed.Keywords: Romatoid artit, psödöşilöz
plevral effüzyon, kolesterol kristalleriTurkiye Klinikleri J Med Sci 1999, 19:281-284
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