PLEVRA SIVILARINDA -KOLESTEROL TAYİNİNİN TRANSÜDA-EKSÜDA AYIRIMINDAKİ DEĞERİ

Ayten Filiz; Erhan Ekinci; Ahmet Çığlı; Öner Dikensoy; Didem Bulgur

doi:10.58600/eurjther.19920302-1440

Authors

Ayten Filiz Gaziantep Üniversitesi Tıp Fak. Göğüs Hast. ABD.Yrd.Doç.Dr.
Erhan Ekinci Gaziantep Üniversitesi Tıp Fak. Göğüs Hast. ABD.Doç.Dr.
Ahmet Çığlı Gaziantep Üniversitesi Tıp Fak. Biyokimya ABD. Yrd.Doç.Dr.
Öner Dikensoy Gaziantep Üniversitesi Tıp Fak. Göğüs Hast. ABD. Arş.Gör.
Didem Bulgur Gaziantep Üniversitesi Tıp Fak.Göğüs Hast. ABD. Arş.Gör.

DOI:

https://doi.org/10.58600/eurjther.19920302-1440

Keywords:

Transudate, Exudate, Pleural Fluid, Cholesterol

Abstract

39 patients with pleural effusions were examined. Cases were classified according to etiologies as transudates, neoplastic exudates, tuberculous exudates and miscellaneous exudates. Pleural fluid protein, LDH, cholesterol concentrations were measured. Mean cholesterol values determined were 92 mg/dl far neoplastic fluids, 82 mg/dl far tuberculeus exudates, 62 mg/dl for miscellaneous group and 23 mg/dl for transudates. If 55 mg/dl taken as the cut off value in distinguishing between plevral exudates and transudates, ali transudates and 87.5 percent of exudates were correctly diagnosed. With these findings, it can be concluded that determination of the level of cholesterol in pleural fluid could be used as a simple and reliable test in distinguishing transudates from exudates.

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References

Hamın H, Brohan U, Bohmer et al. Cholesterol in pleural effusions. A diagnostic Aid. Chest 1987; 92:296-302.

Black LF. The pleural space and pleural fluid. Mayo Oin Proc. 1972; 47: 493-506.

Light RW, Mac Grego MI, Luchinger PC et al. Pleural effusions: the diagnostic seperation of transudates and exudates Ann Intem Med. 1972; 77: 507-13.

Valdes L, Rose A, Suarez J et al: Cholesterol: A Useful parameter for distinguishing between pleural exudates and transudates. Chest 1991; 99: 1097-1101.

Kavunı M, Mecker DP. Diagnostic utility of cholesterol level in pleural effusions. Am Rev Respir Dis 1989; A 358.

Imecik O, Özer F, Gök M. Plevra sıvılannda kolesterol tayininin transüda-eksüda ayınmındaki yeri. Tüberküloz ve Toraks 1992; 40: 21-26.

Koller A. Total serum protein. In: Kaplan LA, Fence AJ. Oinical Chemistry. St Louis: The C.l!. Mosby Co. 1984; 1316. 8. Fence AJ. Lactat Dehidrogenase. In: Kaplan LA, Fence AJ. Oinical Chemistry. St Louis: The C.U. Mosby Co. 1984; 1125. 9. Allain CC, Poon LS, Chan CSG et al : Enzymatic determination of total serum cholesterol. Oin Chem 1974; 20(1,): 470-5.

Sahn SA. Pleurol fluid analysis: narrowing the differantial diagnosis. Semin Respir Med 1987;9: 22-9.

Coe JE, Alkawa JK: Cholesterol pleural effusion Arch Inter Med 1961; 108: 163-77.

Foresti V, Scolori N, Guareschi G, et al. Cholesterol for differantial diagnosis of pleural effusion. Am Rev Resp Dis 1989; A358.