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Richtlijn Niet-maligne pleuravocht Richtlijn Niet ... - Kwaliteitskoepel

Richtlijn Niet-maligne pleuravocht Richtlijn Niet ... - Kwaliteitskoepel

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aanbevelingen<br />

0<br />

Niveau 3<br />

Niveau 3<br />

liteRatuuR<br />

Het cytologische beeld van <strong>pleuravocht</strong> bij patiënten met reumatoïde artritis<br />

is vaak diagnostisch.<br />

De bevinding in <strong>pleuravocht</strong> van de trias laag glucosegehalte, lage pH en hoog<br />

LDH-gehalte ondersteunt de diagnose.<br />

Medische thorascopie ter bevestiging van de diagnose RA geniet de voorkeur<br />

boven blinde pleurabiopten vanwege de hogere diagnostische opbrengst. Het<br />

PA-beeld van de verkregen (pariëtale pleura-) biopten is diagnostisch.<br />

1. Walker WC, Wright V. Rheumatoid pleuritis. Ann Rheum Dis 1967;26:467-74.<br />

2. Sinclair RJG, Cruickshank BA. Clinical and pathological studies of sixteen cases of rheumatoid arthritis with<br />

extensive visceral involvement. Q J Med 1956;25:313-32.<br />

3. Horler AR, Thompson M. The pleural and pulmonary complications of rheumatoid arthritis. Ann Intern Med<br />

1959;50:1179-203.<br />

4. Sahn AS. Immunologic disease of the pleura. Clin Chest Med 1985;6:83-102.<br />

5. Halla JT, Schrohenloher RE, Volanakis JE. Immune complexes and other laboratory features of pleural effusions:<br />

a comparison of rheumatoid arthritis, systemic lupus erythematosus, and other diseases. Ann Intern Med<br />

1980;92:748-52.<br />

6. Lillington GA, Carr DT, Mayne JG. Rheumatoid pleurisy with effusion. Arch Intern Med 1971;128:764-8.<br />

7. Faurschou P, Francis D, Faarup P. Thoracoscopic, histological and clinical findings in nine case of rheumatoid<br />

pleural effusion. Thorax 1985;40:371-5.<br />

8. Nosanchuk JS, Naylor B. A unique cytologic picture in pleural fluid from patients with rheumatoid arthritis.<br />

Am J Clin Pathol 1968;50:330-5.<br />

9. Zufferey P, Ruzicka J, Gerster JC. Pleural fluid cytology as an indicator of an effusion of rheumatoid origin.<br />

J Rheumatol 1993;20;1449-51.<br />

10. Shinto R, Prete P. Characteristic cytology in rheumatoid effusion. Am J Med 1988;85:587-9.<br />

11. Naylor B. The pathognomonic cytological picture of rheumatoid pleuritis. Acta Cytol 1990;34:465-73.<br />

12. Boddington MM, Springs Ai, Moron JA, Moals AG. Cytodiagnosis of rheumatoid pleural effusions. J Clin<br />

Pathol 1971;24;95-106.<br />

13. Engel U, Aru A, Francis D. Rheumatoid pleurisy. Specificity of cytological findings. Acta Pathol Microbiol<br />

Immunol Scand 1986;94:53-6.<br />

14. Chou CW, Chang SC. Pleuritis as a presenting manifestation of rheumatoid arthritis: diagnostic clues in<br />

pleural fluid cytology. Am J Med Sci 2002;323:158-61.

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