Pseudochylothorax secondary to rheumatoid arthritis: Case report Romatoid artrite baǧlı psödoşilotoraks


Inönü H., Yeǧinsu A., Duran Yücesoy F., Çelik D., Acu B.

Turkiye Klinikleri Journal of Medical Sciences, cilt.31, sa.5, ss.1274-1277, 2011 (SCI-Expanded, Scopus) identifier

Özet

A 61-year-old women was referred to our clinic because of bilateral pleural fluid in her chest X-ray. Her history revealed that swelling and stiffness in her joints was diagnosed as rheumatoid arthritis five years ago. On admission, the patient had no complaints, appeared well, and her vital signs were normal. Lung examination revealed that breath sounds were diminished in both lung bases. We did thoracentesis which yielded a milky-odorless fluid. Biochemical characteristics of the fluid was consistent with exuda; trigliseride: 20 mg/dl, cholesterol: 286 mg/dl. Direct smear and culture for acid fast bacilli were negative. Thoracic computerized tomography scans revealed bilateral pleural fluid, volume loss of the left lung with ipsilateral shifting of mediastinum. According to clinicoradiological and laboratory findings, we concluded that pseudochylothorax was the result of chronic rheumatoid pleurisy. Since pseudochylothorax is an uncommon entity detected during the analyses of pleural fluids, we intended to present our rarely seen case with pseudochylothorax. © 2011 by Türkiye Klinikleri.