Diagnostic evaluation of ascitic adenosine deaminase activity in tubercular peritonitis.
Article
de En
| IMSEAR
| ID: sea-95038
Activity of adenosine deaminase (ADA) in serum and peritoneal fluid was studied prospectively in 24 aetiologically proved cases of ascites and 10 age-matched controls. Patients were divided into 3 groups according to causes of ascites, viz. malignant ascites (11), tubercular peritonitis (7) and cirrhosis of liver (6). Serum ADA values and peritoneal: serum ADA ratio did not show any consistent pattern in any group. But in patients with tubercular peritonitis ADA activity in ascitic fluid was significantly higher (P < .001) than in the other groups. An ascitic ADA level of 30 units/L had a sensitivity of 100% and specificity of 94.1% for tubercular peritonitis. These findings suggest that the ascitic fluid ADA activity is useful for the diagnosis of tubercular peritonitis; this method is simple and least invasive.
Texte intégral:
1
Indice:
IMSEAR
Sujet Principal:
Ascites
/
Péritonite tuberculeuse
/
Femelle
/
Humains
/
Mâle
/
Liquide d'ascite
/
Adenosine deaminase
/
Adulte
/
Diagnostic différentiel
/
Adulte d'âge moyen
Type d'étude:
Diagnostic_studies
langue:
En
Année:
1992
Type:
Article