WordNet

flow under pressure
an unrestrained expression of emotion (同)gush, outburst, blowup, ebullition
of or relating to the pleura or the walls of the thorax; "pleural muscles"
the thin serous membrane around the lungs and inner walls of the chest

PrepTutorEJDIC

〈U〉流出,噴出;〈C〉流出物(量) / 〈C〉(感情・言葉などの,通例過剰な)吐露,ほとばしり
ろく膜の,胸膜の
ろく膜,胸膜

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1. 乳糜胸症の臨床像、診断、およびマネージメント clinical presentation diagnosis and management of cholesterol effusions
2. 成人における胸水の診断的評価：初期検査 diagnostic evaluation of a pleural effusion in adults initial testing
3. 乳糜胸症の病因、臨床像、および診断 etiology clinical presentation and diagnosis of chylothorax
4. 乳糜胸症のマネージメント management of chylothorax
5. 乳糜心膜症およびコレステロール心膜炎 chylopericardium and cholesterol pericarditis

English Journal

Effusion under the microscope.

Chong SG1, Chauhan Z, Di Nino E, Brien AO, Casserly BP.Author information 1Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland, sygiin@hotmail.comAbstractPseudochylothorax is a very rare form of pleural effusion. It is also called chyliform or cholesterol pleural effusion. It is usually a unilateral process and approximately one-third of patients are asymptomatic at presentation. We report a case of a 60 year old man with a background of rheumatoid arthritis who presented with progressive dyspnea. Chest X-ray revealed a new left pleural effusion and a small persistent right pleural effusion. He presented 5 years prior due to recurrent pleural effusion and no diagnosis was made. Repeat thoracentesis yielded 350 milliliters of thick, milky, tan-colored fluid.
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo.Monaldi Arch Chest Dis.2012 Mar;77(1):32-4.
Pseudochylothorax is a very rare form of pleural effusion. It is also called chyliform or cholesterol pleural effusion. It is usually a unilateral process and approximately one-third of patients are asymptomatic at presentation. We report a case of a 60 year old man with a background of rheumatoid a
PMID 22662645

[A case having chyliform pleural effusion caused by former tuberculous pleurisy].

Nishio K1, Harada K, Nakano Y, Aida S, Okabayashi K.Author information 1Department of Respiratory Medicine, Kawasaki Municipal Ida Hospital, 2-27-1, Ida, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0035, Japan. nishio-k@city.kawasaki.jpAbstractA 49-year-old male who had been treated for pulmonary tuberculosis and tuberculous pleurisy in 2007 was referred to our hospital with the complaint of dyspnea on exertion in Nov. 2009. Chest X-ray showed increased pleural effusion compared with that remaining after the previous treatment of pleurisy in 2008. A chest CT revealed that fluid collection was surrounded by thickened pleura. Thoracocentesis was performed, and yellow milky liquid was obtained. The pleural effusion contained few cells. The triglyceride concentration was 83 mg/dl, and the cholesterol level was very high at 628 mg/dl. Based on these findings we diagnosed this case as chyliform pleural effusion. Both smear of acid-fast bacilli and PCR-TB test of the pleural effusion were positive, but culture was negative for mycobacterium, suggesting that this chyliform pleural effusion was produced by the former episode of tuberculous pleurisy, not by the recent reactivation of tuberculous pleurisy. The ADA concentration in the pleural effusion was high at 91.7 IU/l. No increase in the amount of pleural effusion was observed after thoracocentesis without any anti-tuberculosis therapy.
Kekkaku : [Tuberculosis].Kekkaku.2011 Feb;86(2):57-60.
A 49-year-old male who had been treated for pulmonary tuberculosis and tuberculous pleurisy in 2007 was referred to our hospital with the complaint of dyspnea on exertion in Nov. 2009. Chest X-ray showed increased pleural effusion compared with that remaining after the previous treatment of pleurisy
PMID 21404651

Pseudochylothorax without pleural thickening: time to reconsider pathogenesis?

Wrightson JM1, Stanton AE, Maskell NA, Davies RJ, Lee YC.Author information 1Oxford Pleural Unit, Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford, UK.AbstractPseudochylothorax (cholesterol pleurisy or chyliform effusion) is a cholesterol-rich pleural effusion that is commonly associated with chronic inflammatory disorders such as tuberculosis or rheumatoid arthritis. Until now, there were only 15 published cases of arthritis-associated pseudochylothorax in the English language literature. Previous literature has suggested that pleural fluid cholesterol enrichment occurs in the context of grossly thickened (fibrotic) pleura over a prolonged period, usually > 5 years. We present six well-characterized cases of arthritis-associated pseudochylothorax, each notable due to their minimal pleural thickening. The median duration of symptoms (or arthritis, in the case of asymptomatic effusions) was 15 months. Such findings cast significant doubt on the conventional concepts of the pathogenesis of rheumatoid-associated pseudochylothorax. Clinicians should consider pseudochylothorax even in short-duration nonfibrotic pleural effusions.
Chest.Chest.2009 Oct;136(4):1144-7. doi: 10.1378/chest.09-0445.
Pseudochylothorax (cholesterol pleurisy or chyliform effusion) is a cholesterol-rich pleural effusion that is commonly associated with chronic inflammatory disorders such as tuberculosis or rheumatoid arthritis. Until now, there were only 15 published cases of arthritis-associated pseudochylothorax
PMID 19809057

Japanese Journal

陳旧化した結核性胸膜炎が原因と考えられる乳び状胸水 (chyliform pleural effusion) を認めた1例

西尾和三,原田佳奈,中野泰 [他],会田信冶,岡林賢
結核 86(2), 57-60, 2011-02-15
NAID 10029058141

偽乳び胸症とＩｇＡ腎症を合併し，経過中赤芽球ろうの病態を示した原発性マクログロブリン血症

宇野久光,日野理彦,藤原謙太,佐々木なおみ,小林研介
臨床血液 42(4), 307-313, 2001
症例は74歳，男性。40年前肺結核で右人工気胸術を受けた。視力の低下，頭痛，両下肢のしびれ感を主訴として1997年10月入院。貧血と白血球減少があり，IgM, κ型のM蛋白を認めた。骨髄には小リンパ球から形質細胞にいたるB細胞が浸潤しておりIgM, κ陽性であった。以上より，原発性マクログロブリン血症(PMG)と診断した。また右下肺野の肥厚した胸膜内に胸水貯留があり，穿刺液は乳糜様でコレステロール …
NAID 130004500711

Paragonimiasis Miyazakii Associated with Bilateral Pseudochylothorax

Inoue Yoshikazu,Kawaguchi Tomoya,Yoshida Akira [他],HARADA Hisato,HARA Hideki,YAMAMOTO Satoru,SAKATANI Mitsunori
Internal medicine 39(7), 579-582, 2000-07
… A 37-year-old man who suffered from bilateral pleural effusions, subcutaneous abdominal induration and blood eosinophilia, was admitted to our hospital. … His pleural effusions were chyliform containing cholesterol crystals, and a high level of immunoglobulin E (36, 580 Ill/ml) and anti-Paragonimus miyazakii antibody were detected. …
NAID 10006995536