https://doi.org/10.4081/monaldi.2012.166

Effusion under the microscope

Vol. 77 No. 1 (2012): Pulmonary series
Submitted: December 3, 2015
Accepted: December 3, 2015
Published: December 3, 2015
Pleural effusion, Pseudochylothorax, Chylothorax, Rheumatoid arthritis
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Authors

S.G. Chong
sygiin@hotmail.com
Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.
Z. Chauhan
Memorial Hospital Of Rhode Island, Brown University, Providence, Rhode Island, United States.
E. Di Nino
Memorial Hospital Of Rhode Island, Brown University, Providence, Rhode Island, United States.
A.O. Brien
Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.
B.P Casserly
Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.
Pseudochylothorax is a very rare form of pleural effusion. It is also called chyliform or cholesterol pleural effusion. It is usually a unilateral process and approximately one-third of patients are asymptomatic at presentation. We report a case of a 60 year old man with a background of rheumatoid arthritis who presented with progressive dyspnea. Chest X-ray revealed a new left pleural effusion and a small persistent right pleural effusion. He presented 5 years prior due to recurrent pleural effusion and no diagnosis was made. Repeat thoracentesis yielded 350 milliliters of thick, milky, tan-colored fluid.

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How to Cite

Chong, S.G., Z. Chauhan, E. Di Nino, A.O. Brien, and B.P Casserly. 2015. “Effusion under the Microscope”. Monaldi Archives for Chest Disease 77 (1). https://doi.org/10.4081/monaldi.2012.166.

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