TY - JOUR
T1 - The problem of empyematous pleural effusion in rheumatoid arthritis
T2 - Report of two cases and review of the literature
AU - Yigla, M.
AU - Simsolo, C.
AU - Goralnik, L.
AU - Balabir-German, A.
AU - Menahem Nahir, A.
PY - 2002/5
Y1 - 2002/5
N2 - Two patients with rheumatoid arthritis and empyematous pleural effusion were treated with repeated drainage and intrapleural corticosteroids. One patient with active joint disease improved within 3 months without sequelae, probably because of the systemic therapy. The other patient, with non-active joint disease, had persistent pleural effusion which resulted in pleural thickening and symptomatic restrictive disturbance. It appears that early intervention intended to prevent the accumulation of empyematous pleural effusion could also prevent pleural thickening and fibrosis. Therapeutic options are discussed.
AB - Two patients with rheumatoid arthritis and empyematous pleural effusion were treated with repeated drainage and intrapleural corticosteroids. One patient with active joint disease improved within 3 months without sequelae, probably because of the systemic therapy. The other patient, with non-active joint disease, had persistent pleural effusion which resulted in pleural thickening and symptomatic restrictive disturbance. It appears that early intervention intended to prevent the accumulation of empyematous pleural effusion could also prevent pleural thickening and fibrosis. Therapeutic options are discussed.
KW - Pleural effusion
KW - Rheumatoid arthritis
KW - Sterile empyema
UR - http://www.scopus.com/inward/record.url?scp=0035985718&partnerID=8YFLogxK
U2 - 10.1007/s10067-002-8279-2
DO - 10.1007/s10067-002-8279-2
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C2 - 12086173
AN - SCOPUS:0035985718
SN - 0770-3198
VL - 21
SP - 180
EP - 183
JO - Clinical Rheumatology
JF - Clinical Rheumatology
IS - 2
ER -