open access

Vol 74, No 1 (2006)
ORIGINAL PAPERS
Published online: 2008-02-18
Submitted: 2013-02-22
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Diagnostic utility of pleural fluideosinophilia

Jacek Nasiłowski, Rafał Krenke, Tadeusz Przybyłowski, Bassem Abouchaz, Barbara Dmowska-Sobstyl, Wacław Droszcz, Ryszarda Chazan
Pneumonol Alergol Pol 2006;74(1):10-15.

open access

Vol 74, No 1 (2006)
ORIGINAL PAPERS
Published online: 2008-02-18
Submitted: 2013-02-22

Abstract

Diagnostic utility of eosinophilic pleural effusion (EPE) is still the matter of controversy. Some earlier studies have showed that pleural fluid eosinophilia considerably reduces the probability of malignancy,whilesome later analyses were not able to confirm such an observation. To evaluate the diagnostic significance of EPE the retrospective study of all patients with pleural effusion (PE) managed in our hospital between 1995 and 2001 has been undertaken. We analyzed 915 patients with PE and 1086 pleural effusions subjected to a biochemical, cytological and bacteriological examinations. We identified 72(7,9%)patients with EPE and 82 EPEs liquid (7,5%) among them. The group of patients with EPE consisted of 41 (57%) males and 31 (43%) females; average age 62.2 year (range 21.0-94.0). Etiologic distribution showed the largest subgroup were patients with malignant EPE (n=28, 38.9%) followed by idiopathic EPE (n=12, 16.7%) and parapneumonic EPE (n=11, 15.3%). Looking for predictors of malignancy in EPE we found some differences between malignant and nonmalignant EPE: patients with malignant EPE were older (67.9±13.6) then patients with nonmalignant EPE (58.7±15.6; p

Abstract

Diagnostic utility of eosinophilic pleural effusion (EPE) is still the matter of controversy. Some earlier studies have showed that pleural fluid eosinophilia considerably reduces the probability of malignancy,whilesome later analyses were not able to confirm such an observation. To evaluate the diagnostic significance of EPE the retrospective study of all patients with pleural effusion (PE) managed in our hospital between 1995 and 2001 has been undertaken. We analyzed 915 patients with PE and 1086 pleural effusions subjected to a biochemical, cytological and bacteriological examinations. We identified 72(7,9%)patients with EPE and 82 EPEs liquid (7,5%) among them. The group of patients with EPE consisted of 41 (57%) males and 31 (43%) females; average age 62.2 year (range 21.0-94.0). Etiologic distribution showed the largest subgroup were patients with malignant EPE (n=28, 38.9%) followed by idiopathic EPE (n=12, 16.7%) and parapneumonic EPE (n=11, 15.3%). Looking for predictors of malignancy in EPE we found some differences between malignant and nonmalignant EPE: patients with malignant EPE were older (67.9±13.6) then patients with nonmalignant EPE (58.7±15.6; p
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Keywords

eosinophilia; pleural effusion; etiology

About this article
Title

Diagnostic utility of pleural fluideosinophilia

Journal

Advances in Respiratory Medicine

Issue

Vol 74, No 1 (2006)

Pages

10-15

Published online

2008-02-18

Bibliographic record

Pneumonol Alergol Pol 2006;74(1):10-15.

Keywords

eosinophilia
pleural effusion
etiology

Authors

Jacek Nasiłowski
Rafał Krenke
Tadeusz Przybyłowski
Bassem Abouchaz
Barbara Dmowska-Sobstyl
Wacław Droszcz
Ryszarda Chazan

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