A retrospective study on radiological findings of diffuse pleural thickening with benign asbestos pleural effusion in Japanese cases

We report the case of a 46-year-old male patient who was referred for chest pain and bilateral pleural effusion. Despite treatment with antibiotics and steroids, the pleural effusion worsened over a few months until pulmonary function was halved. The CT scan showed bilateral pleural thickening with right basal opacity. Histology revealed extensive fibrotic tissue with focal collections of lymphocytes and giant cells without traces of asbestos bodies. Since no evidence of an infectious, embolic or occupational aetiology was found, this bilateral pleural effusion progressing to diffuse pleural thickening was diagnosed as cryptogenic fibrosing pleuritis, a rare pleural disease.

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Risk factors associated with fetal pleural effusion in prenatal diagnosis: a retrospective study in a single institute in Southern China

Journal of Obstetrics and Gynaecology ◽

10.1080/01443615.2018.1503645 ◽

2019 ◽

Vol 40 (4) ◽

pp. 443-447 ◽

Cited By ~ 1

Author(s):

Xin Yang ◽

Dan Yang ◽

Qiong Deng ◽

Fu Fang ◽

Jin Han ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Prenatal Diagnosis ◽

Pleural Effusion ◽

Southern China ◽

Factors Associated

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Clinical consequences of asbestos-related diffuse pleural thickening: A review

Journal of Occupational Medicine and Toxicology ◽

10.1186/1745-6673-3-20 ◽

2008 ◽

Vol 3 (1) ◽

pp. 20 ◽

Cited By ~ 37

Author(s):

Susan E Miles ◽

Alessandra Sandrini ◽

Anthony R Johnson ◽

Deborah H Yates

Keyword(s):

Pleural Thickening ◽

Diffuse Pleural Thickening ◽

Clinical Consequences

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Hematological Indices in Portal Hypertension: Cirrhosis versus Noncirrhotic Portal Hypertension

Journal of Clinical Medicine ◽

10.3390/jcm7080196 ◽

2018 ◽

Vol 7 (8) ◽

pp. 196 ◽

Cited By ~ 1

Author(s):

Abdurrahman Sahin ◽

Hakan Artas ◽

Nurettin Tunc ◽

Mehmet Yalniz ◽

Ibrahim Bahcecioglu

Keyword(s):

Portal Hypertension ◽

Retrospective Study ◽

Radiological Findings ◽

Hematological Indices ◽

Noncirrhotic Portal Hypertension ◽

End Stage Liver Disease ◽

Cirrhotic Patients ◽

Hematological Abnormalities ◽

End Stage ◽

Cirrhotic Group

Portal hypertension (PHT) leads to several alterations on hematological indices (HI). The aim of the study is to investigate the differences in HI between cirrhotic subjects and subjects who have noncirrhotic PHT (NCPHT). This retrospective study included 328 patients with PHT (239 cirrhosis and 89 NCPHT). Demographic and clinical features, endoscopic and radiological findings, and HI including neutrophil to lymphocyte ratio (NLR) at the time of PHT diagnosis were recorded. Severity of cirrhosis was assessed according to the Child–Turcotte–Pugh (CTP) classification and Model for End-Stage Liver Disease (MELD) scores. Hematological abnormalities were found in 92.5% of cirrhotic patients and in 55.1% of patients with NCPHT (p < 0.001). While thrombocytopenia was the most common HI in patients with cirrhosis, anemia was the most prevalent HI in NCPHT group. In the cirrhotic group, the NLR was the only parameter to differentiate each CTP group from two others. The NLR value increased with the severity of cirrhosis (2.28 ± 0.14 in CTP-A, 2.85 ± 0.19 in CTP-B and 3.26 ± 0.37 in CTP-C). The AUROC of NLR was 0.692 for differentiating compensated cirrhotic patients from decompensated. Hematological abnormalities are more prevalent and more severe in cirrhotic patients compared to patients with NCPHT. NLR may be used to assess the severity of cirrhosis.

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Dacryolithiasis diagnosis and treatment: a 25-year experience using nasal endoscopy

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2021-319671 ◽

2021 ◽

pp. bjophthalmol-2021-319671

Author(s):

Alexis Khorrami Kashi ◽

Chafik Keilani ◽

Thien-Huong Nguyen ◽

Pierre Keller ◽

Sina Elahi ◽

...

Keyword(s):

Retrospective Study ◽

Gold Standard ◽

Nasolacrimal Duct ◽

Success Rates ◽

Radiological Findings ◽

Endoscopic Findings ◽

Lacrimal System ◽

Secondary Endpoints ◽

Endonasal Dcr ◽

Nasolacrimal Ducts

BackgroundDacryolith-induced epiphora is caused by a chronic obstruction of the nasolacrimal duct whose aetiology is often specified peroperatively. Dacryocystorhinostomy (DCR) has been often regarded as the gold standard to treat dacryolithiasis. Hasner’s valve (HV) incision is a technique to evacuate lithiasis through its physiological track. The purpose of this study was to describe clinical and radiological findings associated with presence of dacryoliths in patients who underwent surgery and to assess the efficacy of these two procedures.MethodsThis study was a comparative interventional multicentric retrospective study including patients referred for an epiphora. The primary endpoint was to determine clinical and endoscopic findings associated with dacryoliths. The secondary endpoints were to evaluate the performance of CT dacryocystography (CT-DG) in the diagnosis of dacryoliths and the success rate of the surgical treatment 6 months postoperatively.Results4677 nasolacrimal ducts (NLDs) (78.0% female, mean age 59.2) were included in the study. 3913 underwent DCR, and 764 underwent HV incision. 291 out of 4677 NLDs (6.2%) were found to have dacryoliths. Presence of mucocele associated to a permeable lacrimal system (OR 8.17 (95% 4.62 to 14.44), p<0.01) was associated with presence of lithiasis peroperatively. Success rates at 6 months were 95.6% for endonasal DCR and 94.6% for incision of HV in dacryolithiasis group (p<0.01). CT-DG had a negative predictive value of 96.3% to detect lithiasis (p<0.01).ConclusionStrong clinical and endoscopic findings may improve the imputability of dacryoliths in epiphora. Evacuation of dacryolithiasis through its physiological track was first described in this study in adults with similar results to DCR in patients presenting with dacryolithiasis.

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Correlation between chest x-ray findings and outcomes of patients with mechanical ventilation

Paediatrica Indonesiana ◽

10.14238/pi53.1.2013.6-11 ◽

2013 ◽

Vol 53 (1) ◽

pp. 6

Author(s):

Indah Nurhayati ◽

Muhammad Supriatna ◽

Kamilah Budhi Raharjani ◽

Eddy Sudijanto

Keyword(s):

Mechanical Ventilation ◽

Retrospective Study ◽

Pleural Effusion ◽

Respiratory Distress ◽

Pulmonary Edema ◽

Patient Outcomes ◽

Morbidity And Mortality ◽

Chi Square ◽

X Ray ◽

Chest X Ray

Background Most infants and children admitted to the pediatricintensive care unit (PICU) have respiratory distress and pulmonarydisease as underlying conditions. Mechanical ventilation may beused to limit morbidity and mortality in children with respiratoryfailure.Objective To assess a correlation between chest x-ray findingsand outcomes of patients with mechanical ventilation.Methods This retrospective study was held in Dr. KariadiHospital, Semarang, Indonesia. Data was collected from themedical records of children admitted to the PICU from Januaryto December 2010, who suffered from respiratory distress andused mechanical ventilation. We compared chest x-ray findings tothe outcomes of patients. Radiological expertise was provided byradiologists on duty at the time. Chi-square and logistic regressiontests were used for statistical analysis.Results There were 63 subjects in our study, consisting of 28 malesand 35 females. Patient outcomes were defined as survived or died,43 subjects ( 68%) and 20 subjects (3 2%), respectively. Chest x-rayfindings revealed the following conditions: bronchopneumonia48% (P=0.298; 95%CI 0.22 to 1.88), pleural effusion 43%(P=0.280; 95%CI 0.539 to 4.837) , pulmonary edema 6%(P=0.622; 95%CI 0.14 to 14.62) and atelectasis 3% (P=0.538;95%CI 0.03 to 7 .62). None of the chest x-ray findings significantlycorrelated to patient outcomes.Conclusion Chest x-ray findings do not correlate to patientoutcomes in pediatric subjects with mechanical ventilation inthe PICU of Dr. Kariadi Hospital, Semarang, Indonesia.

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Yellow Nail Syndrome with Bilateral Pleural Plaques and Diffuse Pleural Thickening: A Mimic of Asbestos Related Disease

Case Reports in Pulmonology ◽

10.1155/2018/7302898 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Adam Dallmann ◽

Richard L. Attanoos

Keyword(s):

Asbestos Exposure ◽

Electron Microscopic ◽

Yellow Nail Syndrome ◽

Pleural Thickening ◽

Pleural Plaques ◽

Pulmonary Manifestations ◽

Diffuse Pleural Thickening ◽

Mineral Fibre ◽

Asbestos Related Disease ◽

Fibre Analysis

Yellow nail syndrome is a rare acquired condition of unknown aetiology associated with distinct nail discolouration/xanthonychia, pulmonary manifestations, and lymphoedema. Pleural plaques and diffuse pleural thickening are typically, although not exclusively, recognised as markers of prior commercial asbestos exposure. The presence of such biomarkers may assist an asbestos personal injury evaluation. A postmortem examination performed on a 72-year-old man with known long-standing yellow nail syndrome identified pleural plaques and diffuse pleural thickening. An evaluation of the occupational history identified no known asbestos exposure. Electron microscopic mineral fibre analysis detected no asbestos fibres. To the best of our knowledge, this is the only case of yellow nail syndrome in which these benign pleural changes are reported ex asbestos. Alternate causes for such pleural pathology were absent. There is merit in physicians and pathologists having an awareness of these new manifestations when considering claimed asbestos related changes during life and at postmortem.

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The relation of the pleural thickening in tuberculosis pleurisy with the activity of adenosine deaminase

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2005.646 ◽

2005 ◽

Vol 63 (2) ◽

Cited By ~ 2

Author(s):

B. Uskul ◽

H. Turker ◽

C. Ulman ◽

M. Ertugrul ◽

A. Selvi ◽

...

Keyword(s):

Pleural Effusion ◽

Adenosine Deaminase ◽

Pleural Fluid ◽

Clinical Findings ◽

X Rays ◽

Biochemical Tests ◽

Pleural Thickening ◽

Group I ◽

Immunological Mechanisms ◽

Tuberculosis Pleurisy

Selvi, A. Kant, S. Arslan, M. Ozgel. Background: Residual pleural thickening (RPT) still occurs in most patients with tuberculosis pleurisy despite advances in the treatment of tuberculosis. The aim of this study was to evaluate the significance of RPT in tuberculosis pleurisy with the patients clinical findings, biochemical and microbiological properties of pleural effusion and with the total adenosine deaminase (ADA) and isoenzymes levels. Methods: 121 tuberculosis pleurisy patients were evaluated retrospectively. According to posteroanterior chest x-rays, the 63 (52%) cases with the thickness 2 mm or more in lower lateral hemithorax were grouped as I and the 58 (48%) cases without pleural thickness were grouped as II. The amount of pleural effusion was classified into small, medium or massive according to their chest x-rays. In both groups; sex, age, symptoms score, bacteriological and biochemical tests and ADA levels were recorded. Results: 81 (67%) male and 40 (33%) female, overall 121 patients were enrolled into the study. RPT was found higher in males (p=0.014) and the increase ran parallel with the amount of cigarette smoking (p=0.014). RPT was found to be lower in small effusions (p=0.001). The group with RPT, the serum albumin was found lower (p=0.002), pleural fluid total protein (p=0.047) and the ratio of pleural fluid protein to serum protein (p=0.002) were found higher. In group I, total ADA: 69.5±38.9 IU/L and ADA2: 41.3±31.6 IU/L were higher than the cases without RPT (p=0.032, p=0.017, respectively). Conclusions: We suggest that the immunological mechanisms are effective in the development of pleural thickening.

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