Pleuritic chest pain; where should we search for?

Related Experiment Video

Updated: May 17, 2026

Point-of-Care Lung Ultrasound in Adults: Image Acquisition
09:17

Point-of-Care Lung Ultrasound in Adults: Image Acquisition

Published on: March 3, 2023

Behdad Gharib1, Vahid Ziaee, Mohammad-Hassan Moradinejad

  • 1Children's Medical Center, Pediatrics Center of Excellence, Tehran, Iran.

Iranian Journal of Pediatrics
|October 12, 2012
PubMed

Insights

Pleuritic chest pain in children requires evaluating accompanying symptoms. A rare, life-threatening complication of juvenile systemic lupus erythematosus (JSLE) was identified in a pediatric patient presenting with these symptoms.

Area of Science:

  • Pediatric Rheumatology
  • Pediatric Pulmonology
  • Diagnostic Medicine

Background:

  • Pleuritic chest pain is a common pediatric complaint.
  • A thorough diagnostic approach considering all concomitant symptoms is crucial.
  • Systemic lupus erythematosus can manifest in children, presenting unique challenges.

Purpose of the Study:

  • To highlight the importance of comprehensive symptom evaluation in pediatric pleuritic chest pain.
  • To report a rare case of juvenile systemic lupus erythematosus presenting with pleuritic chest pain.
  • To emphasize the potential for life-threatening complications in pediatric rheumatologic conditions.

Main Methods:

  • Case report of a 6-year-old child presenting with pleuritic chest pain.
  • Detailed analysis of accompanying signs and symptoms.
  • Diagnostic workup to identify the underlying cause.

Main Results:

  • The patient presented with pleuritic chest pain and other un specified signs and symptoms.
  • A diagnosis of juvenile systemic lupus erythematosus (JSLE) was established.
  • JSLE was identified as the cause of a rare, life-threatening complication.

Conclusions:

  • Pleuritic chest pain in children necessitates a broad differential diagnosis.
  • Juvenile systemic lupus erythematosus can present with pleuritic chest pain and lead to severe complications.
  • Early recognition and management of JSLE are vital for favorable outcomes in pediatric patients.

Keywords:
Chest PainMacrophage Activating SyndromeSystemic Lupus Erythematosus

More Related Videos

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion03:22

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Published on: November 10, 2023

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Pleural Disorders: Types and Brief Description01:30

Pleural Disorders: Types and Brief Description

The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
Pleura of the Lungs01:13

Pleura of the Lungs

The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.