Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Pseudochylothorax Developed from Chronic Pleural Effusion after Treatment of Tuberculous Pleurisy

결핵성 흉막염 치료 후 잔류된 만성 흉막삼출에서 발생한 가성유미흉 1예

  • Park, Eun Kyoung (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Chung, Sook Hee (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Bae, June Ho (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Ryu, Sang Ryol (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Lee, Jae Hyung (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Kim, Sang Hoon (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine) ;
  • Cho, Young Uk (Department of Clinical Pathology, Eulji Hospital, Eulji University School of Medicine) ;
  • Chae, Jeong Don (Department of Clinical Pathology, Eulji Hospital, Eulji University School of Medicine) ;
  • Lee, Byoung Hoo (Department of Internal Medicine Eulji Hospital, Eulji University School of Medicine)
  • 박은경 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 정숙희 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 배준호 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 류상열 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 이재형 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 김상훈 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 조영욱 (을지대학교 의과대학 을지병원 진단검사의학교실) ;
  • 채정돈 (을지대학교 의과대학 을지병원 진단검사의학교실) ;
  • 이병훈 (을지대학교 의과대학 을지병원 내과학교실)
  • Received : 2009.08.25
  • Accepted : 2009.09.21
  • Published : 2009.11.30
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Garcia-Zamalloa A, Ruiz-Irastorza G, Aguayo FJ, Gurrutxaga N. Pseudochylothorax. Report of 2 cases and review of the literature. Medicine (Baltimore) 1999;78: 200-7 https://doi.org/10.1097/00005792-199905000-00006
  2. Hillerdal G. Chylothorax and pseudochylothorax. Eur Respir J 1997;10:1157-62 https://doi.org/10.1183/09031936.97.10051157
  3. Hillerdal G. Chyliform (cholesterol) pleural effusion. Chest 1985;88:426-8 https://doi.org/10.1378/chest.88.3.426
  4. Light RW. Chapter 23. Chylothorax and pseudochylothorax. In: Light RW, editor. Pleural diseases. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 327-43
  5. Zuckner J, Uddin J, Gantner GE Jr, Dorner RW. Cholesterol crystals in synovial fluid. Ann Intern Med 1964;60: 436-46 https://doi.org/10.7326/0003-4819-60-3-436
  6. Chung HR, Shon HE, Park MS. A case of cholesterol crystals in pleural effusion. J Clin Pathol Qual Control 2000;22:263-4 https://doi.org/10.1136/jcp.22.3.263
  7. Coe JE, Aikawa JK. Cholesterol pleural effusion. Report of 2 cases studied with isotopic techniques and review of the world literature. Arch Intern Med 1961;108: 763-74 https://doi.org/10.1001/archinte.1961.03620110103014
  8. Gonzalez R, Ramírez-Rivera J. Chyliform (pseudochylous) pleural effusion. Bol Asoc Med P R 1994;86:50-2
  9. Liss M, Brandt LJ, Wolf EL. Cholesterol crystal pseudoascites: an unusual presentation of ovarian cyst. Am J Gastroenterol 1982;77:245-7
  10. Hamm H, Pfalzer B, Fabel H. Lipoprotein analysis in a chyliform pleural effusion: implications for pathogenesis and diagnosis. Respiration 1991;58:294-300 https://doi.org/10.1159/000195948
  11. Song JW, Im JG, Goo JM, Kim HY, Song CS, Lee JS. Pseudochylous pleural effusion with fat-fluid levels: report of six cases. Radiology 2000;216:478-80 https://doi.org/10.1148/radiology.216.2.r00jl09478

Cited by

  1. 결핵성 흉막염 치료 후 반복되는 가성유미흉의 수술적 치료 vol.31, pp.1, 2014, https://doi.org/10.12701/yujm.2014.31.1.65