Pleural Diseases in Connective Tissue Diseases.

Connective tissue diseases (CTD) are heterogeneous, immune-mediated inflammatory disorders often presenting with multiorgan involvement. With the advent of high-resolution computed tomography, CTD-related pleuritis-pleural thickening and effusion-is now increasingly recognized early in the disease trajectory. The natural history of CTD-related pleural effusions varies from spontaneous resolution to progressive fibrothorax with ventilatory impairment. Treatment of the underlying CTD is necessary to manage the pleural disease. Depending on the degree of symptom burden and physiological insult, specific treatment of pleural disease can include monitoring, repeated aspirations, systemic anti-inflammatory medication, and surgical decortication.

Thymic MALT lymphoma associated with Sjögren's syndrome with postoperative cardiac tamponade and acute pleuritis: a case report.

BACKGROUND: Thymic mucosa-associated lymphoid tissue (MALT) lymphoma is rare and is known to be associated with Sjögren's syndrome (SjS). SjS is rarely accompanied by serositis. Here, we describe the first case of postoperative cardiac tamponade and acute pleuritis in a patient with thymic MALT lymphoma associated with SjS. CASE PRESENTATION: A 33-year-old woman with SjS presented with an anterior mediastinal mass on chest computed tomography, which was performed for further examination of the condition. Suspecting a thymic MALT lymphoma or thymic epithelial tumor, total thymectomy was performed. The mediastinal mass was histopathologically diagnosed as a thymic MALT lymphoma. The patient was discharged with a good postoperative course but visited the hospital 30 days after surgery for dyspnea. Cardiac tamponade was observed and drainage was performed. Four days after pericardial drainage, chest radiography revealed massive left pleural effusion, and thoracic drainage was performed. The patient was diagnosed with serositis associated with SjS and treated with methylprednisolone, which relieved cardiac tamponade and pleuritis. CONCLUSIONS: Surgical invasion of thymic MALT lymphomas associated with SjS may cause serositis. Postoperative follow-up should be conducted, considering the possibility of cardiac tamponade or acute pleuritis due to serositis as postoperative complications.

[Treatment of malignant effusion]. / Sravnitel'naya kharakteristika metodov lecheniya metastaticheskogo plevrita (obzor literatury).

Malignant effusion complicates more than 15% of all cancers in delayed stages of progression. The most common causes of metastatic pleuritis are lung cancer, breast cancer, ovarian cancer, lymphoproliferative diseases or dissemination of gastrointestinal tumors. Malignant effusion is associated with negative prognosis for overall survival regardless of etiology of tumor, significantly complicates the course of the underlying disease, impairs life quality and complicates treatment. Despite various methods for pleural cavity obliteration in recurrent metastatic pleuritis, there is still no a uniform approach to choosing the optimal treatment strategy. We analyzed the main methods of conservative and surgical treatment of recurrent metastatic pleuritic regarding efficacy, risk of recurrence and reproducibility.

Escrofuloderma a focos mútiples: descripción de un caso / Implies multiple foci Scrofuloderma to: a case

La tuberculosis (TBC) es producida por el Mycobacterium tuberculosis. Es escrofuloderma es una de sus formas cutáneas e integra el grupo de las TBC colicuativas. El empiema tuberculoso puede ocasionar inflamación de los tejidos de la peripleura o “peripleuritis”, con formación de abscesos fríos peripleuríticos; en su evolución puede abrirse camino a través de los planos profundos hacia piel, constituyendo el denominado empiema por necesidad, que se manifiesta clínicamente con tumoraciones cutáneas que pueden evocar lipomas. Se presenta el caso de un paciente con coexistencia de escrofuloderma a focos múltiples (óseo y ganglionar) y empiema por necesidad.

Varón de 63 años con hemoptisis, dolor pleurítico y masa pulmonar / A 63-year-old male with hemoptysis, pleuritic pain, and lung mass

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Pasteurella multocida fimbriada como agente desencadenante de pleuritis y neumonía fibrinosa en cerdos / Fimbriated Pasteurella multocida as etiological agent of pleuritis and fibrinous pneumonia in pigs

Pasteurella multocida tiene cuatro diferentes tipos capsulares (A, B, D y E); A y D son los que caudan problemas en cerdos. El tipo A causa neumonía y el D, rinitis; este tipo capsular produce tpxona, que destruye los cornetes nasales. En 1983, se aislaron dos cepas de P. multocida tipo A en dos granjas con problemas respiratorios, como pleuritis, pericarditis, neumonía fibrinosa y pequeños abscesos. Estas cepas de P. multocida se identificaron con A52 y A59, las que se observaron también al microscopio electrónico observándose pequeñas microvellocidades en la superificie. En inoculaciones experimentales con estos tipos, en relación con los que normalmente ocasionan problemas respiratorios en cerdos, se observó que tales cepas desencadenan problemas más severos de tipo pleuroneumónico abscedativo.

Manifestaciones pulmonares en artritis reumatoide juvenil / Pulmonary manifestations in juvenile rheumatoid arthritis

Se describe un caso de artritis reumatoide juvenil poliarticular seronegativo con neumopatía restrictiva como manifestación de la primera. Se revisa literatura médica al respecto y métodos para determinar el diagnóstico, haciendo hincapié en la necesidad de investigar la función pulmonar en todo paciente con artritis reumatoide, aun cuando permanezca asintomático. No es frecuente sin embargo la presentación de esta variedad clínica