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A Study on Significance of Serum Effusion Albumin Gradient in The Differential Diagnosis of Pleural Effusion.
Artigo em Inglês | IMSEAR | ID: sea-171713
ABSTRACT
To evaluate serum pleural effusion albumin gradient (SEAG) as method of differentiating pleural transudates from exudates.Cases admitted in AMCH with diagnosed pleural effusion were divided into 2 groups based on etiology. Group I (transudates) Comprising 14 patients of congestive heart failure (n=6) and nephrotic syndrome (n=3), Cirrhosis (n=4), pericardial effusion (n=1). Group II (exudates) comprising 26 cases of tuberculous (n=15), malignant (n=8) and parapneumonic effusion (n=2), rheumatoid arthritis (n=1). In all patients estimation of pleural fluid to plasma protein ratio, pleural fluid to serum LDH ratio & pleural fluid LDH level, plasma-pleural effusion gradient were evaluated. All these parameters were compared in differentiating pleural transudates from exudates. A total of 40 patients having pleural effusion were divided into 2 groups. Group I (Transudates),Group II (Exudates). Pleural fluid to serum protein of .5 misclassified 20%, pleural fluid LDH OF 200 U/L misclassified 17.5%, pleural fluid LDH to serum LDH misclassified 12.5%, & serum effusion albumin gradient misclassified 5% while differentiating transudates from exudates. Serum pleural effusion albumin gradient (SEAG) is a very useful parameter to differentiate between exudates and transudates esp. in cases misclassified by Light’s criteria.

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Tipo de estudo: Estudo diagnóstico Idioma: Inglês Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Tipo de estudo: Estudo diagnóstico Idioma: Inglês Ano de publicação: 2009 Tipo de documento: Artigo