Pericardial effusion and constriction as an initial presentation of acute t-cell lymphoblastic lymphoma

Rao, Angela; Chariyawong, Phumpattra; Nantsupawat, Teerapat; Warraich, Irfan; Nair, Nandini

doi:10.12746/swrccc.v7i28.541

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…[11] Numerous etiologies for pericardial effusions, including neoplasia (infection), congestive heart failure (iatrogenicity, radiation), trauma, connective tissue illnesses, pericardial damage, and metabolic reasons such uremia and hypothyroidism, are recognised. [12,13] In cases of symptomatic or substantial pericardial effusion, pericardiocentesis (a procedure that removes fluid from the heart) might reveal the specific cause [14]. Tamponade and/or an unknown source of the effusion are other indicators...…”

Section: Introductionmentioning

confidence: 99%

Pericardial Effusionin Patients Admitted in Emergency Department: Frequency and Causes

Khan¹,

Memon²,

Shehram³

et al. 2022

PJMHS

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Objective:A study of pericardial effusions in individuals with dyspnea was conducted to evaluate the prevalence and aetiology. Study Design:Prospective/Observational Study Place and Duration: Multicenteric study conducted at DHQ Hospital Bagh AJK/ Federal Govt. Polyclinic Hospital Islamabad and DHQ Teaching Hospital Gujranwala Medical College, Gujranwala. Duration was six months from 1st Oct 2021 to 31st March 2022. Methods:There were 135 patients of both genders had ages 18-75 years were presented in this study. Patients with dyspnea were admitted to emergency department. After obtaining informed written consent, we compiled detailed demographic information on all enrolled patients.Pericardial effusion was detected in all cases using echocardiography.The causes of pericardial effusion have been studied." SPSS 22.0 was used to analyze the data. Results: There were 75 (55.6%) males and 60 (44.4%) females in this study. Mean age of the patients was 58.16±10.79 years and had mean BMI 23.9±10.45 kg/m2. Majority of the patients were illiterate 90 (66.7%) and 45 (33.3%) were literate. We found frequency of pericardial effusions among 26 (19.3%) cases. Majority were males 17 (65.4%) and 9 (34.6%) were females. Most common cause of pericardial effusions were neoplastic diseases 10 (38.5%), idiopathic found in 8 (30.8%) cases, 3 (11.4%) had uremia, bacterial infections in 2 (7.7%) cases, frequency of HIV cases was 2 (7.7%) and 1 (3.8%) had other causes. Among 26 patients of pericardial effusions, small size effusion found in 14 (53.8%) cases, moderate size in 8 (30.8%) cases and large size in 4 (15.4%) cases. Conclusion: According to this study,patients with unexplained dyspnea had an increased risk of developing pericardial effusion,. The most prevalent cause of pericardial effusion was a neoplastic disease. Keywords:Electrocardiogram, Causes, Pericardial Effusion, Frequency, Dyspnea

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Section: Introductionmentioning

confidence: 99%

Pericardial Effusionin Patients Admitted in Emergency Department: Frequency and Causes

Khan¹,

Memon²,

Shehram³

et al. 2022

PJMHS

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“…Pericardial effusion can be attributed to several etiologies, including malignant and non-malignant causes [9]. The known causes include neoplasia, infection, congestive heart failure(CCF), Iatrogenicity, radiation, trauma, connective tissue diseases, pericardial injury, and metabolic causes such as uremia and hypothyroidism; a substantial number of effusions are idiopathic [10].…”

Section: Introductionmentioning

confidence: 99%

Frequency and Causes of Pericardial Effusion in Patients Presenting to Emergency Department with Dyspnea

Abrar¹,

Faisal²,

Rehman³

et al. 2021

PJMHS

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Objective: To determine the frequency and causes of pericardial effusion in patients presenting to emergency department with dyspnea. Study Design: Prospective/Observational study Place & Duration:Cardiac Centre, Pakistan Institute of Medical Sciences (PIMS),Islamabad for duration of one year from January 2019 to Dec 2019. Methods: A total 220 patients of both genders with ages above 20 years presented with dyspnea were enrolled in this study. Patients detailed medical history was recorded after taking informed consent. All patients had received echocardiography to examine the incidence of pericardial effusion. Causes of pericardial effusion were recorded. Data was analyzed by SPSS 24.0. Results: Out of 220 patients 38 (17.27%) patients had pericardial effusion. Among these 26 (68.42%) were males while rest 31.58% patients were females. 5 (13.16%) patients had ages <40 years while 33 (86.84%) patients had ages >40 years. 20 (52.63%) patients had small size effusion, 15 (39.47%) patients had moderate size and 3 (7.89%) patients had large size effusion. Neoplastic diseases were the commonest cause of pericardial effusion found in 15 (39.47%) patients followed by idiopathic in 10 (26.32%), uremia in 6 (15.79%) patients, 3 (7.89%) patients had bacterial infections, 3 (7.89%) had HIV positive and 1 (2.63%) patient had other. Conclusion: It is concluded that incidence of pericardial effusion is high in patients with unexplained dyspnea. Neoplastic was the commonest cause of pericardial effusion. Keywords: Pericardial Effusion, Frequency, Causes, Dyspnea. Electrocardiogram

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“…When compared to the literature, the relative involvement of pleura, peritoneum, and pericardium in HLM in our series was less than, more than, and within the ascertained range of 4.2%–10.3%, 16.7%–40%, and 60%–79.1%, respectively. [ 2 3 15 16 22 23 ]…”

Section: Discussionmentioning

confidence: 99%

Preliminary cytomorphologic diagnosis of hematolymphoid malignancies in effusions: A cyto-histo correlation with lessons on restraint

Patel¹,

Gochhait²,

Jinkala³

et al. 2022

J Cytol

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Background: Effusions as part of hematologic neoplasms are rare and as a primary presentation, rarer. In standalone laboratories of developing countries, resorting to techniques such as flow cytometry or immunohisto/cytochemistry may not be possible. A near definitive diagnosis on cytomorphology would, therefore, be an ideal beginning. To that end, we compiled our cases of primary hematolymphoid effusions, devising reproducible reporting categories and looked at their concordance with the final histopathology. Subjects and Methods: Fifty-four cases of primary hematolymphoid effusions over 10 years with cytology-histopathology correlation were chosen. Post morphology assessment, the cases were organized into six categories: suspicious of hematolymphoid malignancy, non-Hodgkin lymphoma-high-grade (NHL-HG), low-grade NHL (NHL-LG), Burkitt lymphoma, acute leukemias, and plasma cell dyscrasias. Discordance with histology was assigned as major and minor based mainly on therapeutic implications. Results: Concordance was seen in a good number (81.5%) of cases. The NHL-HG and NHL-LG categories contributed to 33.3% each of major discordance. Tuberculosis and epithelial malignancies comprised the bulk of the major discordance. Overdiagnosis of a high-grade lymphoma for a histologically proven low-grade follicular lymphoma was the only case with minor discordance. Conclusion: The cytologic categories used are not foolproof for hematologic neoplasms but have a fairly good concordance. A scanty abnormal population should always be viewed with suspicion and definitive labels should be avoided. While morphologic examination is fraught with danger, a good assessment directs the judicious selection of ancillary methods, and hence cannot be supplanted.

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Pericardial effusion and constriction as an initial presentation of acute t-cell lymphoblastic lymphoma

Cited by 3 publications

References 10 publications

Pericardial Effusionin Patients Admitted in Emergency Department: Frequency and Causes

Pericardial Effusionin Patients Admitted in Emergency Department: Frequency and Causes

Frequency and Causes of Pericardial Effusion in Patients Presenting to Emergency Department with Dyspnea

Preliminary cytomorphologic diagnosis of hematolymphoid malignancies in effusions: A cyto-histo correlation with lessons on restraint

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