title: Mycobacterium tuberculosis-specific immunospot assay of pleural exudate mononuclear cells is useful for the exclusion of tuberculous pleuritis in patients with lupus pleuritis.
abstract: It is often difficult to make a diagnosis of pleuritis associated with rheumatic diseases because of lack of specific diagnostic tools. We report a patient with lupus pleuritis from which tuberculous pleuritis was distinguished by Mycobacterium tuberculosis-specific enzyme-linked immunospot assay of pleural exudate mononuclear cells. After the diagnosis of lupus pleuritis, the patient was successfully treated with prednisolone.
authors.affiliation: Yokohama City University Medical Center, Center for Rheumatic Diseases, Yokohama, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Takase
authors.forename: S
authors.initials: S
authors.lastname: Ohno
authors.forename: H
authors.initials: H
authors.lastname: Ideguchi
authors.forename: S
authors.initials: S
authors.lastname: Murakami
authors.forename: M
authors.initials: M
authors.lastname: Takeno
authors.forename: Y
authors.initials: Y
authors.lastname: Ishigatsubo
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007124:Immunoenzyme Techniques; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008875:Middle Aged; D010996:Pleural Effusion / Q000276:immunology*; D010998:Pleurisy / Q000175:diagnosis* / Q000276:immunology; D014396:Tuberculosis, Pleural / Q000175:diagnosis*