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Pleural thickening


FieldValue
synonymsPleural fibrosis
imageAsbestosis_-_Fibrous_pleural_plaque_(7468458430).jpg
captionMacroscopic appearance of a pleural plaque.
fieldRespirology

Pleural thickening is an increase in the bulkiness of one or both of the pulmonary pleurae. A severe form of the condition is known as fibrothorax.

Causes

Categorytitle=Eureka: Respiratory Medicineauthor1=Laura-Jane Smithauthor2=Jerry Brownauthor3=Jennifer Quintpublisher=JP Medical Ltdyear=2015isbn=9781907816727}}FeaturesInfectionNon-infectious inflammationCancer-related
After empyema
After tuberculosis
Active infection with mycobacteria other than tuberculosis, or chronic pulmonary aspergillosis
Asbestosis
After pleurodesis
After hemothorax
After drugs, such as methysergide or bromocriptine
Primary cancer, mainly mesothelioma
Metastasis or invasion, mainly from lung cancer

Pleural plaques

Pleural plaques are patchy collections of hyalinized collagen in the parietal pleura. They have a holly leaf appearance on X-ray. They usually appear after 20 years or more of exposure and never degenerate into mesothelioma. They appear as fibrous plaques on the parietal pleura, usually on both sides, and at the posterior and inferior part of the chest wall as well as the diaphragm.

References

References

  1. (2015). "Eureka: Respiratory Medicine". JP Medical Ltd.
  2. (2011). "Chapter 68 - Pleural Diseases in Radiology Secrets Plus".
  3. (July 2012). "Asbestos-related pleural disease". Curr Opin Pulm Med.
  4. (September 2004). "Diagnosis and initial management of nonmalignant diseases related to asbestos". Am. J. Respir. Crit. Care Med..
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