During a one-year period to September 1998, data were collected from all 213 patients referred with pleural effusion. There were 132 males and 81 females; their ages ranged from 18 to 85 years. The most common etiologies of effusion were congestive heart failure (39.4%), malignancy (27.2%), pneumonia (8%), empyema (5.2%), and tuberculosis (5.2%). Pleural effusions are frequent in Iran, and the causes are fairly similar to those reported by European authors, but with slightly more tuberculosis cases, mostly among Afghan refugees.
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References
1.
LightWP. Pleural diseases. 3rd ed.Baltimore: Williams & Wilkins, 1995:36–166.
2.
PeekGJMorocosSCooperG. The pleural cavity. BMJ2000;320: 1318–21.
KataokaH. Pericardial and pleural effusions in decompensated chronic heart failure. Am Heart J2000;139: 918–23.
5.
JohnsonJL. Pleural effusion in cardiovascular disease. Pearls for correlating the evidence with the cause. Postgrad Med2000;107: 95–101.
6.
KataokaHTakadaS. The role of thoracic ultrasonography for evaluation of patients with decompensated chronic heart failure. J Am Coll Cardiol2000;35: 1638–46.
Garcia-PachonEPadilla-NavasIDosdaDMiralles-LlopisA. Elevated level of carcinoembryonic antigen in nonmalignant pleural effusions. Chest1997;111: 643–7.
9.
LightRW. Useful tests on the pleural fluid in the management of patients with pleural effusions. Curr Opin Pulm Med1999;5: 245–9.
10.
LeeYCChernJHLaiSLPerngRP. Sialyl stage specific embryonic antigen-1; a useful marker for differentiating the etiology of pleural effusion. Chest1998;114: 1542–5.
11.
LoddenkemperRSchonfeldN. Medical thoracoscopy. Curr Opin Pulm Med1998;4: 235–8.
12.
MerinoJMCarpinteroIAlvarezTRodrigoJSanchezJCoelloJM. Tuberculous pleural effusion in children. Chest1999;115: 26–30.
13.
MarelMZrustovaMStasnyBLightRW. The incidence of pleural effusion in a well-defined region. Epidemiologic study in central Bohemia. Chest1993;104: 1486–9.
14.
KoffiNAka-DanguyEKouassiBNgomABlehouDJ. Etiologies of pleurisies in African milieu. Experience of the Cocody Pneumology department. Rev Pneumol Clin1997;53: 193–6.
15.
LaimCKWongCM. Causes of pleural exudates in a region with a high incidence of tuberculosis. Respirology2000;5: 33–8.
16.
al-QuorainALarbiEBSattiMBal-MuhannaFBaloushA. Tuberculous pleural effusion in the eastern province of Saudi Arabia. Trop Geogr Med1994;46: 298–301.
17.
KalaajiehWK. Etiology of exudative pleural effusions in adults in North Lebanon. Can Respir J2001;8: 93–7.
18.
MoudgilHSridharGLeitchAG. Reactivation disease: the commonest form of tuberculous pleural effusion in Edinburgh, 1980–1991. Respir Med1994;88: 301–4.
19.
JonesDLiebTNaritaMHollenderESPitchenikAKAshkinD. Mesothelial cells in tuberculous pleural effusions of HIV-infected patients. Chest2000;117: 289–91.
