Agrawal Anand, Madaan Himanshu, Yadav Sarita
Indian J Chest Dis Allied Sci. 2016 Jan-Mar;58(1):59-61.
A 60-year-old female who was known to have rheumatoid arthritis for the preceding two-and-half years presented with difficulty in breathing associated with chest pain over the right hemithorax of two months duration. She was found to have a right-sided mild to moderate pleural effusion; there was no evidence of pleural thickening. The pleural fluid was pale yellow in appearance and diagnostic work-up confirmed it to be a pseudochylous pleural effusion. The present case highlights the rare occurrence of pseudochylothorax without pleural thickening as a complication of rheumatoid arthritis.
一名60岁女性，在过去两年半中患有类风湿性关节炎，出现呼吸困难并伴有右半侧胸痛，持续两个月。检查发现她右侧有轻度至中度胸腔积液；没有胸膜增厚的迹象。胸腔积液外观呈淡黄色，诊断检查证实为假性乳糜胸。本病例突出了类风湿性关节炎并发症中罕见的无胸膜增厚的假性乳糜胸的发生情况。
