Polyserositis: a diagnostic challenge

Internal Medicine Journal
Inés LosadaAntoni Payeras

Abstract

Polyserositis (PS) is the inflammation, with effusion, of different serous membranes. It has been associated with different aetiologies, but the aetiology of PS remains unknown in a high percentage of patients. The general objective of this retrospective study was to analyse the aetiology of PS cases seen at Son Llàtzer Hospital in an 11-year period. Other objectives were to determine the epidemiological, clinical and analytical characteristics of these patients. An observational, descriptive and retrospective study to analyse the aetiology of PS cases seen at Son Llàtzer Hospital. The inflammation of two or more serous membranes confirmed by an imaging test was required and at least one of the serous fluid should be an exudate. A total of 92 patients was included in the study. The most common diagnosis was neoplasm (nearly one-third of cases) followed by infectious and autoimmune diseases. PS aetiology was unknown in more than one-third. Pleura and pericardium were the most common sites of serosal involvement (83%). Antinuclear antibodies' positivity in serum and increased levels of adenosine deaminase in pleural effusion were significantly associated with a final diagnosis of autoimmune disease. Increased pleural lactate dehy...Continue Reading

References

Jun 1, 1986·Mayo Clinic Proceedings·J K Martin, J R Goellner
Oct 1, 1972·Annals of Internal Medicine·R W LightW C Ball
Jan 1, 1984·Acta Medica Scandinavica·T PetterssonT H Weber
Apr 1, 1997·The Pediatric Infectious Disease Journal·H A RotbartD Blum
Jul 26, 2003·Annals of Clinical Biochemistry·Masashi GotoTsuguya Fukui
Dec 10, 2003·Medicine·Pierre-Yves LevyDidier Raoult
Sep 29, 2004·Diagnostic Cytopathology·Ben Davidson
Feb 5, 2005·Seminars in Arthritis and Rheumatism·Pascal SèveChristiane Broussolle
Apr 13, 2005·Respiration; International Review of Thoracic Diseases·M GagaD Orphanidou
Jan 29, 2008·Respiratory Medicine·Qiu-Li LiangXue-Jun Qin
Apr 22, 2008·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Patrizio Morisson, Denise Duprat Neves
Oct 2, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Heather M PetoLori R Armstrong
Jan 13, 2012·Arthritis and Rheumatism·Minoru SatohFrederick W Miller
Dec 21, 2012·International Journal of Rheumatic Diseases·Vishnu V Reddy MunagalaAmita Aggarwal
Apr 10, 2016·Arthritis & Rheumatology·Samantha Slight-WebbJudith A James

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Citations

Oct 19, 2019·World Journal of Clinical Cases·Ping ZhuFeng-Mei Wang
Nov 13, 2020·The American Journal of Medicine·Ami Schattner
Oct 18, 2021·Joint, Bone, Spine : Revue Du Rhumatisme·Giuseppe LopalcoFlorenzo Iannone

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