Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Intrapleural Corticosteroid Injection in Eosinophilic Pleural Effusion Associated with Undifferentiated Connective Tissue Disease

  • Kim, Eunjung (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Changhwan (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Yang, Bokyung (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Mihee (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kang, Jingu (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jiun (Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2013.04.30
  • Accepted : 2013.07.24
  • Published : 2013.10.30
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Abstract

Eosinophilic pleural effusion (EPE) is defined as a pleural effusion that contains at least 10% eosinophils. EPE occurs due to a variety of causes such as blood or air in the pleural space, infection, malignancy, or an autoimmune disease. Undifferentiated connective tissue disease (UCTD) associated with eosinophilic pleural effusion is a rare condition generally characterized by the presence of the signs and symptoms but not fulfilling the existing classification criteria. We report a case involving a 67-year-old man with UCTD and EPE, who has been successfully treated with a single intrapleural corticosteroid injection.

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References

  1. Kalomenidis I, Light RW. Eosinophilic pleural effusions. Curr Opin Pulm Med 2003;9:254-60. https://doi.org/10.1097/00063198-200307000-00002
  2. Ishiura Y, Fujimura M, Nakamura N, Jokaji H, Minami S, Matsuda T. Intrapleural corticosteroid injection therapy for post-traumatic eosinophilic pleural effusion. Respir Med 1996;90:501-3. https://doi.org/10.1016/S0954-6111(96)90179-1
  3. Rubins JB, Rubins HB. Etiology and prognostic significance of eosinophilic pleural effusions: a prospective study. Chest 1996;110:1271-4. https://doi.org/10.1378/chest.110.5.1271
  4. Mosca M, Tani C, Carli L, Bombardieri S. Undifferentiated CTD: a wide spectrum of autoimmune diseases. Best Pract Res Clin Rheumatol 2012;26:73-7. https://doi.org/10.1016/j.berh.2012.01.005
  5. Maeshima E, Nishimoto T, Yamashita M, Mune M, Yukawa S. Progressive systemic sclerosis-polymyositis overlap syndrome with eosinophilic pleural effusion. Rheumatol Int 2003;23:252-4. https://doi.org/10.1007/s00296-003-0297-0
  6. Ferreiro L, San Jose E, Gonzalez-Barcala FJ, Alvarez-Dobano JM, Golpe A, Gude F, et al. Eosinophilic pleural effusion: incidence, etiology and prognostic significance. Arch Bronconeumol 2011;47:504-9.
  7. Oba Y, Abu-Salah T. The prevalence and diagnostic significance of eosinophilic pleural effusions: a meta-analysis and systematic review. Respiration 2012;83:198-208. https://doi.org/10.1159/000327200
  8. Krenke R, Nasilowski J, Korczynski P, Gorska K, Przybylowski T, Chazan R, et al. Incidence and aetiology of eosinophilic pleural effusion. Eur Respir J 2009;34:1111-7. https://doi.org/10.1183/09031936.00197708
  9. Samman YS, Wali SO, Abdelaal MA, Gangi MT, Krayem AB. Chronic eosinophilic pneumonia presenting with recurrent massive bilateral pleural effusion: case report. Chest 2001;119:968-70. https://doi.org/10.1378/chest.119.3.968
  10. Breuer GS, Deeb M, Fisher D, Nesher G. Therapeutic options for refractory massive pleural effusion in systemic lupus erythematosus: a case study and review of the literature. Semin Arthritis Rheum 2005;34:744-9. https://doi.org/10.1016/j.semarthrit.2004.11.003
  11. Felz MW, Haviland-Foley DJ. Eosinophilic pleural effusion due to dantrolene: resolution with steroid therapy. South Med J 2001;94:502-4. https://doi.org/10.1097/00007611-200194050-00012
  12. Cavazzana I, Franceschini F, Belfiore N, Quinzanini M, Caporali R, Calzavara-Pinton P, et al. Undifferentiated connective tissue disease with antibodies to Ro/SSa: clinical features and follow-up of 148 patients. Clin Exp Rheumatol 2001;19:403-9.

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