Pleural effusion in patients with systemic cholesterol embolization

M. H. Kollef; M. T. McCormack; D. A. Kristo; V. V.B. Reddy

doi:10.1378/chest.103.3.792

Pleural effusion in patients with systemic cholesterol embolization

M. H. Kollef, M. T. McCormack, D. A. Kristo, V. V.B. Reddy

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Abstract

We evaluated two patients with systemic cholesterol embolization (SCE) associated with the development of pleural effusions. These two patients had evidence of atherosclerosis and presented with livedo reticularis, renal insufficiency, and gangrenous cutaneous changes as manifestations of their SCE. In both cases, closed pleural biopsies demonstrated acute inflammation of the parietal pleura. Our experience with these individuals and a review of the medical literature suggest that pleural injury from atheromatous embolization may occur. Physicians caring for patients with SCE should be aware of the possible association of pleural reactions with this process.

Original language	English
Pages (from-to)	792-795
Number of pages	4
Journal	CHEST
Volume	103
Issue number	3
DOIs	https://doi.org/10.1378/chest.103.3.792
State	Published - 1993

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10.1378/chest.103.3.792

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author = "Kollef, {M. H.} and McCormack, {M. T.} and Kristo, {D. A.} and Reddy, {V. V.B.}",

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AU - McCormack, M. T.

AU - Kristo, D. A.

AU - Reddy, V. V.B.

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AB - We evaluated two patients with systemic cholesterol embolization (SCE) associated with the development of pleural effusions. These two patients had evidence of atherosclerosis and presented with livedo reticularis, renal insufficiency, and gangrenous cutaneous changes as manifestations of their SCE. In both cases, closed pleural biopsies demonstrated acute inflammation of the parietal pleura. Our experience with these individuals and a review of the medical literature suggest that pleural injury from atheromatous embolization may occur. Physicians caring for patients with SCE should be aware of the possible association of pleural reactions with this process.

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Pleural effusion in patients with systemic cholesterol embolization

Abstract

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