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KMID : 0383820090670050458
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Tuberculosis and Respiratory Diseases
2009 Volume.67 No. 5 p.458 ~ p.461
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A Case of Pseudochylothorax Developed from Chronic Pleural Effusion after Treatment of Tuberculous Pleurisy
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Park Eun-Kyoung
Chung Sook-Hee
Bae June-Ho
Ryu Sang-Ryol
Lee Jae-Hyung
Kim Sang-Hoon
Cho Young-Uk
Chae Jeong-Don
Lee Byoung-Hoon
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Abstract
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A pseudochylothorax, a chyliform pleural effusion, is a rare disease of pleural effusion that contains cholesterol crystals or high lipid content that is not the result of a disrupted thoracic duct. Most of the cases were found in patients with long-standing pleural effusion due to chronic inflammatory disease, such as old tuberculous pleurisy or chronic rheumatoid pleurisy. We experienced a case of pseudochylothorax in a 74-year-old man, who was being treated for pulmonary tuberculosis and pleurisy 10 years ago. The diagnosis was confirmed on pathological study of the pleural effusion, which contained cholesterol crystals having a diagnostic rhomboid appearance.
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KEYWORD
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Pseudochylothorax, Cholesterol, Pleural Effusion
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