Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients

Objective: The main objective study was to evaluate the new-onset cases of pleural effusion with respect to etiology/causation. Materials and Methods: A total of 1000 patients were included in the study aged between 18 and 70 years. The patients with earlier diagnosis of pleural effusion or those w...

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Main Authors: Rahul Gupta, Anchal Gupta, Mohd Ilyas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:CHRISMED Journal of Health and Research
Subjects:
Online Access:http://www.cjhr.org/article.asp?issn=2348-3334;year=2018;volume=5;issue=2;spage=110;epage=113;aulast=Gupta
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author Rahul Gupta
Anchal Gupta
Mohd Ilyas
author_facet Rahul Gupta
Anchal Gupta
Mohd Ilyas
author_sort Rahul Gupta
collection DOAJ
description Objective: The main objective study was to evaluate the new-onset cases of pleural effusion with respect to etiology/causation. Materials and Methods: A total of 1000 patients were included in the study aged between 18 and 70 years. The patients with earlier diagnosis of pleural effusion or those who had undergone thoracocentesis were excluded from the study. All the patients were subjected to thorough clinical examination, chest radiography, chest and abdominal sonography, pleural fluid analysis, and pleural fluid cytology, and in select cases, pleural biopsy was done. The results were assimilated and tabulated, observations thereby drawn by. Results and Observations: Out of total 1000 patients, 69.5% had tuberculosis followed by malignancy (16%) with the systemic causes forming about 15% bulk of the patients with pleural effusion. It was found more in males, associated with smoking, and majority of patients had unilateral effusion. Eighty-nine percent of patients had exudative effusion. Conclusion: The results of the study revealed that tuberculosis is still the most common cause of pleural effusion and efforts need to be stepped up to control tuberculosis. The national programs for control of tuberculosis need to be revisited to assess the magnitude of the problem, and the patients need to be counseled for the compliance of the therapy. Furthermore, malignancy is trending upward in the etiology of pleural effusion.
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spelling doaj.art-0d91776540c6464a9af2f96c413034f72022-12-22T03:44:59ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2018-01-015211011310.4103/cjhr.cjhr_109_17Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patientsRahul GuptaAnchal GuptaMohd IlyasObjective: The main objective study was to evaluate the new-onset cases of pleural effusion with respect to etiology/causation. Materials and Methods: A total of 1000 patients were included in the study aged between 18 and 70 years. The patients with earlier diagnosis of pleural effusion or those who had undergone thoracocentesis were excluded from the study. All the patients were subjected to thorough clinical examination, chest radiography, chest and abdominal sonography, pleural fluid analysis, and pleural fluid cytology, and in select cases, pleural biopsy was done. The results were assimilated and tabulated, observations thereby drawn by. Results and Observations: Out of total 1000 patients, 69.5% had tuberculosis followed by malignancy (16%) with the systemic causes forming about 15% bulk of the patients with pleural effusion. It was found more in males, associated with smoking, and majority of patients had unilateral effusion. Eighty-nine percent of patients had exudative effusion. Conclusion: The results of the study revealed that tuberculosis is still the most common cause of pleural effusion and efforts need to be stepped up to control tuberculosis. The national programs for control of tuberculosis need to be revisited to assess the magnitude of the problem, and the patients need to be counseled for the compliance of the therapy. Furthermore, malignancy is trending upward in the etiology of pleural effusion.http://www.cjhr.org/article.asp?issn=2348-3334;year=2018;volume=5;issue=2;spage=110;epage=113;aulast=GuptaCytologymalignancypleural effusionpleural fluid analysistuberculosis
spellingShingle Rahul Gupta
Anchal Gupta
Mohd Ilyas
Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
CHRISMED Journal of Health and Research
Cytology
malignancy
pleural effusion
pleural fluid analysis
tuberculosis
title Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
title_full Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
title_fullStr Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
title_full_unstemmed Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
title_short Spectrum of pleural effusion etiology revisited in 18–70 years of age group: A tertiary care center-based study of 1000 patients
title_sort spectrum of pleural effusion etiology revisited in 18 70 years of age group a tertiary care center based study of 1000 patients
topic Cytology
malignancy
pleural effusion
pleural fluid analysis
tuberculosis
url http://www.cjhr.org/article.asp?issn=2348-3334;year=2018;volume=5;issue=2;spage=110;epage=113;aulast=Gupta
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AT anchalgupta spectrumofpleuraleffusionetiologyrevisitedin1870yearsofagegroupatertiarycarecenterbasedstudyof1000patients
AT mohdilyas spectrumofpleuraleffusionetiologyrevisitedin1870yearsofagegroupatertiarycarecenterbasedstudyof1000patients