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Pleural effusion in interstitial lung disease.

Kristin B Highland1, John E Heffner

  • 1Division of Pulmonary Critical Care Medicine and Allergy, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

Current Opinion in Pulmonary Medicine
|August 19, 2004
PubMed
Summary

Pleural effusions are increasingly associated with interstitial lung diseases (ILD). Clinical evaluation is crucial to distinguish ILD-related effusions from other causes.

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Area of Science:

  • Pulmonology
  • Rheumatology
  • Internal Medicine

Background:

  • Interstitial lung disease (ILD) is a group of disorders affecting lung parenchyma.
  • Pleural effusions are fluid collections in the space between the lungs and the chest wall.

Purpose of the Study:

  • To review recent findings on the occurrence of pleural effusions in patients with interstitial lung disease.

Main Methods:

  • Literature review of recent studies on interstitial lung disease and pleural effusions.

Main Results:

  • Pleural effusions are now recognized in a broader range of ILD causes.
  • Specific conditions include systemic sclerosis, polymyositis-dermatomyositis, drug-induced ILD, and other miscellaneous ILDs.

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Conclusions:

  • Pleural effusions are a recognized complication in various interstitial lung diseases.
  • Clinical assessment is essential to rule out therapy complications and unrelated coexisting conditions.