PMID: 9451675Feb 6, 1998Paper

Evaluation of pleural fluid in patients with cirrhosis

Journal of Clinical Gastroenterology
Z Ackerman, T B Reynolds

Abstract

Although fluid analysis usually is the first step toward identifying the cause of pleural effusion in patients with cirrhosis and ascites, there are no available data on the reliability of this approach, therefore, we retrospectively evaluated hematologic and biochemical parameters from pleural fluid analysis in 21 patients with hepatic hydrothorax (with proven peritoneal-pleural communication) and 6 patients with primary pleural disease (2 with tuberculosis, 3 with parapneumonic effusion, and 1 with empyema). The criteria developed by Light were diagnostic of pleural "exudate" in only one of six patients with primary pleural disease, concentrations of leukocytes, total protein (TP), albumin, and lactic dehydrogenase (LDH) in both fluids were measured and pleural fluid-to-ascites ratios of these measurements were calculated. Only ratio values for leukocytes and TP were higher in the group of patients with primary pleural disease compared with those with hepatic hydrothorax. Ratio values for leukocytes and TP overlapped between both groups during baseline conditions and during episodes of spontaneous bacterial peritonitis and pleuritis. We conclude that pleural fluid analysis has limited diagnostic efficacy in the patient with c...Continue Reading

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Citations

Sep 24, 1999·The American Journal of Medicine·K N LazaridisP S Kamath
May 8, 2001·Journal of Gastroenterology and Hepatology·A BhattacharyaY Chawla
Mar 28, 2012·Current Opinion in Pulmonary Medicine·Chih-Yen Tu, Chia-Hung Chen
Oct 13, 2009·Journal of Gastroenterology and Hepatology·Masaya TamanoHideyuki Hiraishi
Dec 5, 2012·Thoracic Surgery Clinics·Rajesh Thomas, Y C Gary Lee
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Pei-Ming HuangYung-Chie Lee
Jul 25, 2007·Journal of Gastroenterology and Hepatology·Anastasios RoussosKonstantinos I Gourgouliannis
Jul 13, 2001·The American Journal of Medicine·X XiolE Sesé
Mar 21, 2003·The Annals of Thoracic Surgery·Jalal AssouadMarc Riquet
Oct 26, 2016·La Presse médicale·Jean-François CadranelThierry Thevenot
Jun 24, 2017·Archivos de bronconeumología·Lucía FerreiroLuis Valdés
Aug 4, 2004·Liver International : Official Journal of the International Association for the Study of the Liver·Chamutal GurOren Shibolet
Oct 13, 2006·European Journal of Gastroenterology & Hepatology·George Therapondos, Florence Wong
Sep 26, 2009·European Journal of Gastroenterology & Hepatology·Thomas SerstéFrançois Durand
Apr 5, 2002·Journal of the American Academy of Nurse Practitioners·E G Jones
Jun 14, 2003·Current Opinion in Pulmonary Medicine·Gary T Kinasewitz, Jean I Keddissi
Dec 18, 2003·Journal of Clinical Gastroenterology·Nelson Garcia, Anastasios A Mihas
Oct 17, 2020·Journal of Translational Internal Medicine·Fabian BenzChristoph Roderburg

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