AI Summary & Key Takeaways
AI InsightAlthough the prediagnosis of the case was pleural tuberculosis, the final diagnosis was performed as rheumatoid pleural effusion by biochemical findings including positive rheumatoid factor, decreased C3 level in the pleural fluid and clinical manifestations of rheumatoid artritis.
📌 3 Key Takeaways
Abstract
A 54 year old male patient admitted to the hospital with pleural effusion. The biochemical findings of pleural effusion included exudative characteristics, elevated adenosine deaminase.level. Cytologie examination revealed lymphocytic predominance. Plevral biopsy material was reported as nonspecific pleuritis. Although the prediagnosis of the case was pleural tuberculosis, the final diagnosis was performed as rheumatoid pleural effusion by biochemical findings including positive rheumatoid factor, decreased C3 level in the pleural fluid and clinical manifestations of rheumatoid artritis.
Özet
Ellidört yaşındaki erkek hasta, hastanemize plevral efüzyon nedeniyle başvurdu. Plevral sıvının biyokimyasal tetkikinde eksuda özelliklerinin bulunduğu, glukoz değerinin düşük ve adenozin deaminaz düzeyinin yüksek olduğu saptandı. Sitolojik inceleme lenfosit hakimiyetini ortaya koydu. Plevra biyopsisi sonucu nonspesifik plöritis olarak raporlandı. Ön tanısı tüberküloz plöritis olan hastanın son tanısı plevra sıvısında romatoid faktörün pozitif, C3 düzeyinin düşük bulunması ve romatoid artrite ait klinik bulguların saptanması ile romatoid plörezi olarak kondu