Caso 5: mulher de 50 anos com cardiomiopatia restritiva, insuficiência renal e proteinúria

Silvestre, Odílson Marcos; Ribeiro, Henrique Barbosa; Paula, Leonardo Jorge Cordeiro de; Macedo, Sergio; Castelli, Jussara Bianchi

doi:10.1590/s0066-782x2009001100020

Cited by 1 publication

(2 citation statements)

References 34 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 95 articles published over a period of 63 years were included, representing a final sample of 196 patients with PA. Figure 1 shows the flow chart of the article selection process. [ 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 <...…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of pleural effusion due to amyloidosis

Ferreiro¹,

Pou²,

Suárez-Antelo³

et al. 2023

Ann Thorac Med

View full text Add to dashboard Cite

The characteristics of patients with pleural amyloidosis (PA) are poorly known. A systematic review was performed of studies reporting clinical findings, pleural fluid (PF) characteristics, and the most effective treatment of PA. Case descriptions and retrospective studies were included. The review included 95 studies with a total sample of 196 patients. The mean age was 63 years, male/female ratio was 1.6:1, and 91.9% of patients were >50 years. The most common symptom was dyspnea (88 patients). PF was generally serious (63%), predominantly lymphocytic, and with the biochemical characteristics of transudates (43.4%) or exudates (42.6%). Pleural effusion was generally bilateral (55%) and <1/3 of the hemithorax (50%), although in 21% pleural effusion (PE) exceeded 2/3. Pleural biopsy was performed in 67 patients (yield: 83.6%; 56/67) and was positive in 54% of exudates and 62.5% of unilateral effusions. Of the 251 treatments prescribed, only 31 were effective (12.4%). The combination of chemotherapy and corticosteroids was effective in 29.6% of cases, whereas talc pleurodesis was effective in 21.4% and indwelling pleural catheter in 75% of patients (only four patients). PA is more frequent in adults from 50 years of age. PF is usually bilateral, serous, and indistinctly a transudate or exudate. A pleural biopsy can aid in diagnosis if effusion is unilateral or an exudate. Treatments are rarely effective and there may be definitive therapeutic options for PE in these patients.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The size of PE was documented in 92 cases (47%). PE was small in 46 patients (50%) (<1/3 of the hemithorax), moderate in 27 (30%) (>1/3 and <2/3 of the hemithorax), and large in 19 (21%) patients[ 17 19 30 33 35 40 43 46 50 59 64 72 76 77 78 80 81 92 94 ] (>2/3 of the hemithorax).…”

Section: Resultsmentioning

confidence: 99%