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Chyliform effusion without pleural thickening in a patient with rheumatoid arthritis: A case report.

Muresan C, Muresan L, Grigorescu I, Dumitrascu DL - Lung India (2015 Nov-Dec)

Bottom Line: Pseudochylothorax, also known as chyliform effusion rich in cholesterol crystals, is a rare entity that sometimes occurs in long-standing rheumatoid arthritis (RA) and is usually associated with thickened pleura.We report the case of a 70-year-old male patient with a history of RA and heart failure due to severe aortic stenosis, who presented with signs and symptoms of decompensated heart failure due to a moderate right-sided pleural effusion that was consequently proved to be pseudochylothorax unassociated with pleural thickening on chest computed tomography (CT) scan.The patient's outcome was favorable after thoracocentesis was carried out and leflunomide was added to the standard heart failure treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of 2nd Medical Clinic, Division of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Pseudochylothorax, also known as chyliform effusion rich in cholesterol crystals, is a rare entity that sometimes occurs in long-standing rheumatoid arthritis (RA) and is usually associated with thickened pleura. There have only been a few case reports in the literature on pseudochylothorax unassociated with pleural thickening and with a short duration of articular symptoms in patients with RA. We report the case of a 70-year-old male patient with a history of RA and heart failure due to severe aortic stenosis, who presented with signs and symptoms of decompensated heart failure due to a moderate right-sided pleural effusion that was consequently proved to be pseudochylothorax unassociated with pleural thickening on chest computed tomography (CT) scan. The patient's outcome was favorable after thoracocentesis was carried out and leflunomide was added to the standard heart failure treatment.

No MeSH data available.


Related in: MedlinePlus

Chest CT scan showing pleural effusion without thickening of the pleura
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Figure 4: Chest CT scan showing pleural effusion without thickening of the pleura

Mentions: The chest CT scan carried out after thoracocentesis revealed a mild right-sided pleural effusion but without pleural thickening and several bands of atelectasis [Figure 4]. No lung tumor, evidence of pulmonary tuberculosis, or mediastinal lymph node was observed. However, due to the presence of advanced heart failure, thoracoscopy was not carried out for definitive diagnosis.


Chyliform effusion without pleural thickening in a patient with rheumatoid arthritis: A case report.

Muresan C, Muresan L, Grigorescu I, Dumitrascu DL - Lung India (2015 Nov-Dec)

Chest CT scan showing pleural effusion without thickening of the pleura
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663869&req=5

Figure 4: Chest CT scan showing pleural effusion without thickening of the pleura
Mentions: The chest CT scan carried out after thoracocentesis revealed a mild right-sided pleural effusion but without pleural thickening and several bands of atelectasis [Figure 4]. No lung tumor, evidence of pulmonary tuberculosis, or mediastinal lymph node was observed. However, due to the presence of advanced heart failure, thoracoscopy was not carried out for definitive diagnosis.

Bottom Line: Pseudochylothorax, also known as chyliform effusion rich in cholesterol crystals, is a rare entity that sometimes occurs in long-standing rheumatoid arthritis (RA) and is usually associated with thickened pleura.We report the case of a 70-year-old male patient with a history of RA and heart failure due to severe aortic stenosis, who presented with signs and symptoms of decompensated heart failure due to a moderate right-sided pleural effusion that was consequently proved to be pseudochylothorax unassociated with pleural thickening on chest computed tomography (CT) scan.The patient's outcome was favorable after thoracocentesis was carried out and leflunomide was added to the standard heart failure treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of 2nd Medical Clinic, Division of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Pseudochylothorax, also known as chyliform effusion rich in cholesterol crystals, is a rare entity that sometimes occurs in long-standing rheumatoid arthritis (RA) and is usually associated with thickened pleura. There have only been a few case reports in the literature on pseudochylothorax unassociated with pleural thickening and with a short duration of articular symptoms in patients with RA. We report the case of a 70-year-old male patient with a history of RA and heart failure due to severe aortic stenosis, who presented with signs and symptoms of decompensated heart failure due to a moderate right-sided pleural effusion that was consequently proved to be pseudochylothorax unassociated with pleural thickening on chest computed tomography (CT) scan. The patient's outcome was favorable after thoracocentesis was carried out and leflunomide was added to the standard heart failure treatment.

No MeSH data available.


Related in: MedlinePlus