CHOLESTEROL EFFUSION: A STUDY OF 2 CASES
Keywords:
cholesterol crystals, pleural effusion, pericardial effusion, tuberculosis, rheumatoid disease
Abstract
Background: Cholesterol crystals in the third space fluid are due to a high concentration of cholesterol in the body cavity fluid. The etiology of such an entity is wide-ranging.
Objectives:
- a) To analyze the morphologic characteristics of two separate cases; in pleural and pericardial effusions due to long-standing tuberculosis and rheumatoid disease respectively.
- b) To study the aetiopathogenesis of these crystals and review the available literature in brief. Results: Both had an abundance of inflammatory cells and foamy macrophages along with birefringent cholesterol crystals.
Conclusion: The body fluids with cholesterol effusion have peculiar features. This should necessitate a thorough investigation into the underlying pathology
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References
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2. Fernandes F, et al. Cholesterol pericarditis. A specific but rare cause of pericardial disease. Arq Bras Cardiol 2001; 76: 393-4.
3. Kjeldsberg C, Knight J. Body Fluids. 3rd ed. Chicago, IL: ASCP Press; 1993:164-166, 270-275.
4. Hillerdal G. Chylothorax and pseudochylothorax. Eur Respir J 1997; 10:1157-1162.
5. Coe JE, Aikawa JK. Cholesterol pleural effusion. Arch Intern Med1961; 108:763-774.
6. Song J-W, Im J-G, Goo JM, et al. Pseudochylous pleural effusion with fat-fluid levels: report of six cases. Radiology 2000; 216:478-480.
7. Light RW. Pleural Diseases. 3rd ed. Baltimore, MD: Williams &Wilkins; 1995:284-298.
8. Ferguson GC. Cholesterol pleural effusion in rheumatoid lung disease. Thorax1966; 21: 577-582.
9. Ford EJ, Bear PA, Adams RW. Cholesterol pericarditis causing cardiac tamponade.Am Heart J 1991; 122: 877-9.
10. Stanley RJ, Subramanian R, Lie JT. Cholesterol pericarditis terminating as constrictivecalcific pericarditis. Am J Cardiol 1980; 46: 511-514.
11. Shen P, Blair J. Cholesterol crystals causing falsely elevated automated cell count. Am J Clin Pathol 2006;125:358-363
How to Cite
1.
Nayak M D, Manohar C, V G, Magazine R. CHOLESTEROL EFFUSION: A STUDY OF 2 CASES. Med. res. chronicles [Internet]. 2015Mar.15 [cited 2024Apr.30];2(2):183-6. Available from: https://medrech.com/index.php/medrech/article/view/68
Section
Case Study
