Epidemiological and clinical aspects of pachypleuritis: About 102 cases collected in the Pulmonology & Phtisiology Department of the Sylvanus Olympio University Hospital Center in Lome
Journal Title: JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY - Year 2018, Vol 9, Issue 27
Abstract
Introduction. Pachypleuritis is a pleural thickening that is objectified by thoracic imaging. It is a non specific reaction secondary to several etiologies (inflammatory, infectious, asbestos) which cause a severe inflammation of the pleural often associated or secondary to a pleural effusion resulting in a fibrotic process or even a restrictive respiratory insufficiency. Methods. All patients at least 10 years of age, hospitalized and / or followed in pneumological consultation with pleural thickening on chest imaging were included in the study from January 1, 2017 to December 31, 2017. Results. The hospital prevalence pachypleuritis: 102 cases (3.7%). Men (74.5%). The average age (46.64 years ± 15.77 years). History: pulmonary tuberculosis (16.7%), pleurisy (25.4%). Mean duration of symptoms (9.19 ± 8.7 weeks). On admission: oxygen desaturation (35.3%), cough (75.5%), dyspnea (72.6%), chest pain (63.7%). Pleuropulmonary examination: fluid pleural effusion syndrome (60.3%), effusion: unilateral (86.3%), and right (53%). X-ray of the chest face: preexisting pachypleuritis before admission (33.3%), discovery in hospitalization (48%), after hospitalization (18.6%). There is an average thickness of 2.94 cm with extremes of 0.8 to 7.3 cm. Senile pachypleuritis (35.3%), with effusion (64.7%), unilateral (91.2%), right location (53%), apical (31.3%), costal (74.5%), basal (54.9%), mediastinal (27.4%), and multiple (59.5%). Other lung lesions: alveolar syndrome (42.1%), interstitial syndrome (25.5%), excavations (6.8%). pleural fluid: clear (69.7%), purulent (19.7%), hemorrhagic (7%). Admission spirometry (87.2%): restrictive ventilatory disorder in 47.2%. Conclusion. Pachypleuritis is a frequent complication of respiratory diseases especially infectious in our context, unlike industrialized countries where they are more related to exposure to asbestos. The accessibility of imageric examinations has revolutionized the diagnosis. Functional repercussion depends mainly on the extent of parenchymal involvement.
Authors and Affiliations
Moussa Ounteini ABASSE
Keywords
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- EP ID EP570011
- DOI 10.12699/jfvpulm.9.27.2018.31
- Views 88
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