Effusion under the microscope

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

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.

Abstract

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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Published
2015-12-03
Info
Issue
Section
Case Reports
Keywords:
Pleural effusion, Pseudochylothorax, Chylothorax, Rheumatoid arthritis
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  • PDF: 270
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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