title: Idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease.
abstract: A 82-year-old patient with dyspnea and a recurrent history of pleural effusion was admitted into our unit. He performed a Chest computed tomography showing right pleural effusion. Video-assisted thoracoscopy (VATS) exploratory showed parietal pleural thickening of adipose tissue. The surgical procedure consisted, therefore, in the execution of multiple biopsies of the parietal pleura which appeared covered, on the whole surface, by islands of adipose tissue, without macroscopic pathological aspects. After the procedure was performed pleurodesis with talc. The definitive histological examination consisted of normal mesothelial cells surrounded by fatty tissue infiltrated by small lymphocytes in a patient without skin lesions or visceral or systemic signs of inflammatory involvement of the adipose tissue. We reported a rare case of idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease.
authors.affiliation: Department of Medicine and Surgery, Thoracic Surgery Unit, University of Salerno, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Laperuta
authors.affiliation: Department of Medicine and Surgery, Thoracic Surgery Unit, University of Salerno, Italy.
authors.forename: Filomena
authors.initials: F
authors.lastname: Napolitano
authors.affiliation: Department of Medicine and Surgery, Pathology Unit, Federico II University of Naples, Italy.
authors.forename: Rosa Maria
authors.initials: RM
authors.lastname: Di Crescenzo
authors.affiliation: Department of Medicine and Surgery, Pathology Unit, University of Salerno, Italy.
authors.forename: Pio
authors.initials: P
authors.lastname: Zeppa
authors.affiliation: Respiratory Disease Unit, A.O.U. "S. Giovanni di Dio & Ruggi D'Aragona", Salerno, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Galderisi
authors.affiliation: Hematology and Transplant Center, Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: Selleri
authors.affiliation: Department of Medicine and Surgery, Section of Respiratory Diseases, University of Salerno, Salerno, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Vatrella
authors.affiliation: Department of Medicine and Surgery, University of Salerno, Baronissi, 84081 Salerno, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Capunzo
authors.affiliation: Department of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, Italy.
authors.forename: Vincenzo Giuseppe
authors.initials: VG
authors.lastname: Di Crescenzo
keywords: Exploratory excision; Panniculitis; Thoracoscopy; Weber-Christian disease