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Catamenial pleural pain.

K Horsfield1

  • 1King Edward VII Hospital, Midhurst, West Sussex, UK.

The European Respiratory Journal
|November 1, 1989
PubMed
Summary
This summary is machine-generated.

Recurrent pleural pain, potentially caused by pulmonary endometriosis, was observed. This pain fluctuated with hormonal changes, suggesting a link between endometriosis and chest discomfort.

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Area of Science:

  • Reproductive Medicine
  • Pulmonology
  • Gynecology

Background:

  • Pulmonary endometriosis is a rare condition where endometrial tissue grows in the lungs.
  • It can manifest with various symptoms, including chest pain and shortness of breath.

Observation:

  • A case of recurrent pleural pain, specifically pleurisy, was noted in a patient without pneumothorax.
  • The pain exhibited a clear cyclical pattern, correlating with the patient's menstrual cycle.

Findings:

  • The patient's pleural pain resolved after sterilization and recurred upon estrogen administration.
  • Discontinuation of estrogen led to the complete disappearance of the pain, strongly implicating hormonal influence.

Implications:

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  • This case expands the known clinical presentations of pulmonary endometriosis.
  • It highlights the importance of considering endometriosis in women with cyclical chest pain, even without pneumothorax.
  • Further research into the hormonal mechanisms of pulmonary endometriosis is warranted.