We read with interest the recent paper by QUEROL JM, BARBE F, MANRESA F, EsTEBAN L and CANETE [1]. The authors presented some patients with tuberculous pleural effusion and adenosine deaminase activity (ADA) values less than 43 U·I-• We reported previously that ADA values (Guisti method) were statistically significantly higher in tuberculous pleural effusions than in most other diseases [2]. Hi...

, talc not only causes a greater degree of apoptosis of lung cancer cells than bleomycin at equivalent concentrations, but it also demonstrates selectivity of action by sparing the normal mesothelium, which is not observed with bleomycin or doxycyline. Our in vitro observation was further supported by the discovery of a preserved layer of mesothelial cells despite an intense inflammatory pleura...

Pulmonary sequestration is a rare congenital abnormality which often diagnosed in childhood. There are two types of differentiated by the presence, or lack pleural lining dividing aberrant lung tissue from functional lung. Data for management this pathology adults remains scarce. Here we present case intralobar pulmonary an adult. The patient comprised surgical treatment involving lobectomy and...

Primary hypothyroidism is a common clinical condition in which serous effusions are rare. Isolated cases have been reported in literature about presence of ascites, pleural effusion, pericardial effusion or combination of any two. But combination of all three is extremely rare. We hereby report a case of multiple body cavity effusions (ascites, pleural and pericardial effusions) and tissue edem...

A 70-year-old male patient underwent an Fluorodeoxyglucose-positron emission tomography-computed tomography for staging of a left parahilar lung neoplasm found during work-up for fatigue and asthenia. The scan demonstrated a hypermetabolic lung tumor, a hypermetabolic pleural effusion and 4 hypermetabolic bilateral soft tissue lesions of the chest wall corresponding to 4 elastofibroma dorsi. In...

327 Received September 16, 2014; revised and accepted March 13, 2015. Published online April 8, 2015; doi: 10.1620/tjem.235.327. Correspondence: Hak-Ryul Kim, Department of Internal Medicine, Institute of Wonkwang Medical Science, Wonkwang University, School of Medicine, 344-2 Shinyong-dong, Iksan, Jeonbuk 570-749, Korea. e-mail: [email protected] Tissue Inhibitor of Metalloproteinase-1 Is ...

The response of the fibrinolytic system to inflammatory mediators in empyema and complicated parapneumonic pleural effusions is still uncertain. We prospectively analysed 100 patients with pleural effusion: 25 with empyema or complicated parapneumonic effusion, 22 with tuberculous effusion, 28 with malignant effusion and 25 with transudate effusion. Inflammatory mediators, tumour necrosis facto...

The delicate mesothelial surfaces of the pleural space and other serosal cavities slide relative to each, lubricated by pleural fluid. In the absence of breathing motion, differences between lung and chest wall shape could eventually cause the lungs and chest wall to come into contact. Whether sliding motion keeps lungs and chest wall separated by a continuous liquid layer is not known. To expl...