A Case of Pseudochylothorax Developed from Chronic Pleural Effusion after Treatment of Tuberculous Pleurisy.
10.4046/trd.2009.67.5.458
- Author:
Eun Kyoung PARK
1
;
Sook Hee CHUNG
;
June Ho BAE
;
Sang Ryol RYU
;
Jae Hyung LEE
;
Sang Hoon KIM
;
Young Uk CHO
;
Jeong Don CHAE
;
Byoung Hoon LEE
Author Information
1. Department of Internal Medicine, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea. hoonakr@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Pseudochylothorax;
Cholesterol;
Pleural Effusion
- MeSH:
Aged;
Cholesterol;
Humans;
Pleural Effusion;
Pleurisy;
Rare Diseases;
Thoracic Duct;
Tuberculosis, Pleural;
Tuberculosis, Pulmonary
- From:Tuberculosis and Respiratory Diseases
2009;67(5):458-461
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A pseudochylothorax, a chyliform pleural effusion, is a rare disease of pleural effusion that contains cholesterol crystals or high lipid content that is not the result of a disrupted thoracic duct. Most of the cases were found in patients with long-standing pleural effusion due to chronic inflammatory disease, such as old tuberculous pleurisy or chronic rheumatoid pleurisy. We experienced a case of pseudochylothorax in a 74-year-old man, who was being treated for pulmonary tuberculosis and pleurisy 10 years ago. The diagnosis was confirmed on pathological study of the pleural effusion, which contained cholesterol crystals having a diagnostic rhomboid appearance.