Could IFN-γ predict the development of residual pleural thickening in tuberculous pleurisy?

Submitted: January 26, 2016
Accepted: January 26, 2016
Published: January 26, 2016
Abstract Views: 504
PDF: 428
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Background. The aim of our study was to identify predictive factors for the development of residual pleural thickening (RPT) in patients with tuberculous pleurisy (TP). Methods. A retrospective study of patients with pleural tuberculosis. The clinical and radiological characteristics, and measurements of microbiological and biochemical parameters or markers such as adenosine deaminase (ADA), interferon-γ (IFN-γ) and vascular endothelial growth factor (VEGF) in pleural fluid were studied. Results. Thirty one patients (24 male and 7 female) with a mean age of 55.9 years were studied. There were 25 (80.6%) patients with RPT > 2 mm and 6 (19.4%) patients without RPT. Ten patients (32.2%) had RPT ≥ 10 mm. The rate of pleural thickening was less in small effusions (p<0.05). IFN-γ was higher in patients with RPT ≥ 10 mm (p < 0.05) in comparison with those with RPT < 10 mm. Conclusions. Pleural fluid IFN-γ may deserve further investigation in order to build up preventive and therapeutic strategies against RPT and its clinical complications.

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Gerogianni, I., M. Papala, P. Tsopa, P. Zigoulis, A. Dimoulis, K. Kostikas, T. Kiropoulos, and K.I. Gourgoulianis. 2016. “Could IFN-γ Predict the Development of Residual Pleural Thickening in Tuberculous Pleurisy?”. Monaldi Archives for Chest Disease 69 (1). https://doi.org/10.4081/monaldi.2008.407.

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