Beynel P, Nesme P, Pérol M, Guérin J C
Service de Pneumologie, Hôpital de la Croix-Rousse, Lyon.
Rev Mal Respir. 1997 Jun;14(3):218-20.
A 52-year-old man presented with a two month history of left sided chest pains related to a pleurisy which showed an 18 per cent eosinophilia on pleural aspiration. He was hospitalised one month later and at that stage was very dyspnoeic and there was a bilateral pleural effusion associated with a significant pericardial effusion causing compression. A pleuro-pericardial drainage eased the patient's symptoms. The pleural fluid showed an 87 per cent lymphocytosis and a complete diagnostic work up was negative thus a diagnosis of idiopathic eosinophilic pleurisy with an associated pericarditis was made. Steroid therapy was instituted using half a milligram per kilo and this led to a rapid functional improvement and no recurrence of the effusions were noted. The treatment was progressively stepped down over the next five months and the patient's condition was satisfactory without any recurrence at nine months.
一名52岁男性，有两个月左侧胸痛病史，与胸膜炎有关，胸腔穿刺显示嗜酸性粒细胞增多18%。一个月后他住院了，当时呼吸困难严重，双侧胸腔积液伴大量心包积液导致压迫。胸膜心包引流缓解了患者症状。胸腔积液显示淋巴细胞增多87%，全面诊断检查均为阴性，因此诊断为特发性嗜酸性胸膜炎伴心包炎。采用每公斤半毫克的剂量开始类固醇治疗，这导致功能迅速改善，未再出现积液。在接下来的五个月中逐渐减少治疗剂量，九个月时患者情况良好，未出现任何复发。
