[Pleurisy in HIV infected patients].
Thirty-seven records of pleural effusion of known cause which occurred in HIV-seropositive patients hospitalized at the Tenon hospital, Paris, between 1985 and 1990 were analyzed retrospectively and divided into two groups: group 1 (n = 21) made up of kaposian effusions, and group 2 (n = 16) of infectious effusions serving as control. Numerous features distinguished group 1 from group 2 pleural effusions: In group 1 the effusion occurred in patients with cutaneous Kaposi sarcoma in 20/21 cases (P less than 0.001), developed slowly (more than 10 days) in 20/21 patients (P less than 0.001), was associated with a specific fever in only 4/21 cases (P less than 0.001), was bilateral in 20/21 cases (P less than 0.001), was regularly associated with bilateral parenchymatous opacities (P less than 0.001) and was haemorrhagic in 18/21 patients (P less than 0.001). Thus, simple semeiological features are sufficient to predict the cause of pleural effusion occurring in HIV-seropositive patients and to guide the diagnostic approach.
Allier
I
I
Service de Pneumologie et de Réanimation respiratoire, Hôpital Tenon, Paris.
Cadranel
J
J
Parquin
F
F
Denis
M
M
Lepen de Ven
C
C
Antoine
M
M
Mayaud
C
C
Akoun
G
G
D000328:Adult; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000473:pathology; D010998:Pleurisy / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D011859:Radiography; D012189:Retrospective Studies
Pleurésies chez les malades infectés par le VIH.