Abstract:
PURPOSE OF REVIEW:Pleural effusions are frequent in the context of acute idiopathic pericarditis and following pericardiotomy, but they have seldom been characterized. This review summarizes their most relevant clinical features. RECENT FINDINGS:In acute idiopathic pericarditis, pleural effusions tend to be left-sided and, if bilateral, they are usually larger on the left. Less than 5% are unilateral right-sided. About 90% of the effusions occupy less than one-third of the hemithorax, and 99% meet Light's exudative criteria with a predominance of lymphocytes in three fourths of the cases. Although postcardiac injury syndrome (PCIS)-related effusions share similar characteristics, they present some differential features: more than 15% are unilateral on the right (except for Dressler syndrome), one-fourth opacify half or more of the hemithorax, and nearly two thirds are bloody. The combination of nonsteroidal anti-inflammatory drugs and colchicine, along with therapeutic thoracenteses for moderate-to-large effusions, is the mainstay treatment approach. The postoperative use of colchicine is also a reasonable option for preventing PCIS in patients who have undergone cardiac surgery. SUMMARY:Pleural effusions because of pericardial diseases remain a clinical diagnosis. If unilateral right-sided, massive, or transudative effusions are seen, an alternative diagnosis to acute pericarditis should be considered.
journal_name
Curr Opin Pulm Medjournal_title
Current opinion in pulmonary medicineauthors
Porcel JMdoi
10.1097/MCP.0000000000000383subject
Has Abstractpub_date
2017-07-01 00:00:00pages
346-350issue
4eissn
1070-5287issn
1531-6971journal_volume
23pub_type
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0000000000000599
更新日期:2019-09-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0b013e328304ae43
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0b013e328358d51f
更新日期:2012-11-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0b013e328333900a
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abstract::Diabetes is a common complication of cystic fibrosis. Because it is associated with increased morbidity and mortality, prompt diagnosis and aggressive management of cystic fibrosis-related diabetes is important. The Cystic Fibrosis Foundation held a consensus conference in 1998 to define the standards of care for pati...
journal_title:Current opinion in pulmonary medicine
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更新日期:1999-11-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0b013e32833a260
更新日期:2010-07-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章
doi:10.1097/00063198-199909000-00002
更新日期:1999-09-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
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更新日期:2006-09-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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更新日期:2002-11-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/00063198-199907000-00007
更新日期:1999-07-01 00:00:00