Grønbaek K E
Afdeling Y, Amtssygehuset i Gentofte.
Ugeskr Laeger. 1994 Apr 25;156(17):2597-8.
A case of progressive pleural effusion in a 50 year-old woman is presented. She had a history of recurrent bilateral symmetric joint affection involving small and large joints in the extremities and morning stiffness. Extraarticular manifestations developed after two years' disease; mesangial proliferative glomerulonephritis, Sjogren's disease and progressive pleural effusions. The diagnosis rheumatoid pleural effusion was based on the history of articular disease, blood samples, examination of the pleural fluid, and the thoracoscopic results. The most remarkable findings were the non-odorous, cloudy, greenish sterile exudate with extremely low glucose concentration and a high LDH concentration, and the parietal pleura which appeared granulated on thoracoscopy.
本文报告一例50岁女性进行性胸腔积液病例。她有反复双侧对称性关节受累病史，累及四肢大小关节并伴有晨僵。发病两年后出现关节外表现；系膜增生性肾小球肾炎、干燥综合征和进行性胸腔积液。类风湿性胸腔积液的诊断基于关节疾病史、血液样本、胸腔积液检查及胸腔镜检查结果。最显著的发现是无异味、浑浊、绿色的无菌渗出液，葡萄糖浓度极低，乳酸脱氢酶浓度高，以及胸腔镜检查时出现颗粒状的壁层胸膜。
