+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

A case of bilateral cholesterol pleurisy associated with heart failure analysis of lipoprotein and apoprotein in pleural effusion



A case of bilateral cholesterol pleurisy associated with heart failure analysis of lipoprotein and apoprotein in pleural effusion



Japanese Journal of Chest Diseases 48(11): 935-940



A 58 year-old male was admitted to our hospital because of dyspnea on exertion and peripheral edema. Six years ago, he suffered from tuberculous pleuritis. Cardiomegaly and bilateral pleural effusion were found on chest X-ray film. He was diagnosed as heart failure, which improved by administration of digitalis and diuretics. However, pleural effusion persisted in the bilateral pleural cavities. By aspiration of bilateral pleural effusion, turbid and yellow pleural effusion was obtained. Cholesterol crystals were observed in bilateral effusion on microscope. More cholesterol crystals was noted in the right effusion than in the left effusion. He was diagnosed as bilateral cholesterol pleurisy, a rarely reported disorder. An analysis of lipids, lipoproteins and apoproteins in serum and in bilateral pleural effusion revealed that total cholesterol, .beta.-LP and LDL levels in right effusion were higher than serum levels. However, these levels in left effusion were lower than in serum levels. LDL/ApoB ratios in right and left effusion were higher than that in serum. Thus it was presumed that the formation of cholesterol crystals in the pleural avity was related to the LDL/ApoB ratio.

(PDF emailed within 1 workday: $29.90)

Accession: 006932103

Download citation: RISBibTeXText


Related references

Changes in lipoprotein cholesterol lipoprotein 2 lipopotein 3 apoprotein a apoprotein a 1 and apoprotein b in patients affected by chronic renal failure on maintenance hemodialysis. Bollettino Societa Italiana Biologia Sperimentale 61(1): 15-22, 1985

Rheumatoid pleurisy with cholesterol pleural effusion. A single case. Literature review. Le Poumon et le Coeur 36(3): 213-214, 1980

Analysis of lymphocyte subsets of peripheral blood and pleural effusion in patients with tuberculous pleurisy or carcinomatous pleurisy. Nihon Kyobu Shikkan Gakkai Zasshi 24(7): 785-791, 1986

T-lymphocyte subsets in peripheral blood and pleural effusion in tuberculous pleurisy and carcinomatous pleurisy: analysis by monoclonal antibodies. Zhonghua Jie He He Hu Xi Za Zhi 12(2): 96-8, 127, 1989

The importance of pleural fluid and serum NT-proBNP levels in differentiating pleural effusion due to heart failure from other causes of effusion. Internal Medicine 48(5): 287-293, 2009

The effect of total cholesterol , triglyceride , apoprotein A-1 and apoprotein B concentrations on the cholesterol content of the high density lipoprotein. FASEB Journal 7(3-4): A566, 1993

Right-sided pleural effusion in heart failure: Report of an unusual case. American Heart Journal 16(4): 501-504, 1938

A case having chyliform pleural effusion caused by former tuberculous pleurisy. Kekkaku 86(2): 57-60, 2011

A case of tuberculous pleurisy with a rapid decrease in pleural effusion. Nihon Kokyuki Gakkai Zasshi 45(11): 884-889, 2007

A case of benign asbestos pleurisy as pleural bloody effusion. Nihon Naika Gakkai Zasshi. Journal of the Japanese Society of Internal Medicine 76(6): 825-831, 1987

Case of tuberculous pleurisy with eosinophilic pleural effusion and hematological eosinophilia. Kekkaku 82(5): 481-485, 2007

Pleural Effusion in the Setting of Graves Disease and Congestive Heart Failure: A Case Report. Chest Journal 145(3): 257a-1-257a-2, 2014

Loculated pleural effusion in congestive heart failure due to severe anemia; report of a case. Amer Heart Jour 55(3): 421-423, 1958

Pleural effusion localized in an interlobar space: Report of a case of heart failure together with autopsy. American Heart Journal 4(2): 227-235, 1928

A misdiagnosed case of paragonimiasis with bilateral pleural effusion and pericardial effusion. Zhonghua Er Ke Za Zhi 48(5): 396-397, 2011