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Pleural thickening
| Field | Value |
|---|---|
| synonyms | Pleural fibrosis |
| image | Asbestosis_-_Fibrous_pleural_plaque_(7468458430).jpg |
| caption | Macroscopic appearance of a pleural plaque. |
| field | Respirology |
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
| Category | title=Eureka: Respiratory Medicine | author1=Laura-Jane Smith | author2=Jerry Brown | author3=Jennifer Quint | publisher=JP Medical Ltd | year=2015 | isbn=9781907816727}} | Features | Infection | Non-infectious inflammation | Cancer-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
- (2015). "Eureka: Respiratory Medicine". JP Medical Ltd.
- (2011). "Chapter 68 - Pleural Diseases in Radiology Secrets Plus".
- (July 2012). "Asbestos-related pleural disease". Curr Opin Pulm Med.
- (September 2004). "Diagnosis and initial management of nonmalignant diseases related to asbestos". Am. J. Respir. Crit. Care Med..
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