[Exudative pleurisy in patients with diabetes mellitus]

Peculiarities of clinical course, diagnosis and results of treatment of exudative pleurisy (EP) were studied in 65 patients with diabetes mellitus. According to the data of complex investigation obtained, using clinico-radiological, laboratory, instrumental methods (transthoracic puncture, thoracoscopy with pleural biopsy), pleural tuberculosis was diagnosed in 60% of patients, nonspecific pleuritis--in 21.5%, pleural mesothelioma--in 10.8%, primary pulmonary cancer--in 5 (7.7%). In 26 (40%) patients pulmonary operation was performed to eliminate the main focus of the EP occurrence. Direct dependence of the course, result of treatment of patients with EP from the type, severity and timely diagnosis of the disease was established.