Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Posttraumatic Pleural Effusion with Peripheral Eosinophilia

호산구증가증이 동반된 외상 후 호산구성 흉수 1예

  • Kim, Jong-Hun (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Kim, Young-Saeng (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Ku, Bon-Ho (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Choi, Yu-Kyung (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Kim, Do-Hoon (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Chin, Jae-Yong (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Oh, Mi-Jung (Department of Internal Medicine, Bundang Jesaeng General Hospital)
  • Received : 2008.04.17
  • Accepted : 2008.05.07
  • Published : 2008.05.30
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Abstract

Eosinophilic pleural effusions (EPE) are defined as those effusions that contain at least 10% eosinophils, and EPE can be associated with peripheral blood eosinophilia in a variety of systemic diseases. There have been a few cases that have addressed the association of peripheral blood eosinophilia and posttraumatic EPE, and this condition can be misdiagnosed as being the result of other causes due to the delayed presentation. We report here on a case of 47-year-old male who presented with eosinophilic pleural effusion associated with peripheral blood eosinophilia at 2 months after minor chest trauma. We excluded the other possible causes such as consumption of drugs, parasite infection, malignancy, diseases of pulmonary eosinophilic infiltration, autoimmune diseases and pulmonary thromboembolism. We observed his clinical course without specific treatment. Three months later, the pleural effusion completely disappeared and the number of peripheral eosinophils returned to normal.

저자들은 흉부 외상 2개월 후 말초 혈액 호산구증가증이 동반된 호산구성 흉수가 발생한 환자에게서, 가능한 다른 원인들을 감별하고 특별한 치료 없이 경과 관찰하여 호전된 외상 후 호산구성 흉수를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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