[Transudative pleural effusions and the ovarian hyperstimulation syndrome].
BACKGROUND
Pleural effusions occurring in the ovarian hyperstimulation syndrome (OHS) are frequently associated with haemoconcentration.


METHODS
We report three cases of symptomatic pleurisy with ascites, requiring therapeutic pleural aspiration. Biochemical analysis of these effusions may give rise to confusion as consideration of the pleural fluid protein levels in isolation may lead to the incorrect diagnosis of an exudate. On account of the electrolyte disorders and haemoconcentration seen in OHS a pleural fluid protein level of over 30 g per litre (the traditional definition of an exudative pleurisy) should be interpreted in relation of a serum concentration.


CONCLUSIONS
Measurement of the pleural and serum protein and LDH levels, complemented by a serum-effusion albumin gradient, should permit confirmation of the transudative nature of the pleural effusions. It seemed important to us to confirm this concept in three personal cases, as the data reported in the literature are more often reported as evidence for an exudates. Furthermore, a favourable response to symptomatic treatment tends to confirm the transudative nature of the effusions in OHS.
Boutemy
M
M
Service de Pneumologie et Unité de Réanimation Respiratoire, Groupe Hospitalier Universitaire Sud, Amiens, France.
Buklow
K
K
Glérant
J Ch
JCh
Martin
F
F
Jounieaux
V
V
D000328:Adult; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000378:metabolism; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications*; D010996:Pleural Effusion / Q000166:cytology / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism; D010998:Pleurisy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism; D011506:Proteins / Q000378:metabolism; D013902:Radiography, Thoracic
D011506:Proteins; D007770:L-Lactate Dehydrogenase
Epanchements pleuraux transsudatifs et syndrome d'hyperstimulation ovarienne.