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Could IFN-γ predict the development of residual pleural thickening in tuberculous pleurisy?

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Author
Gerogianni, I.; Papala, M.; Tsopa, P.; Zigoulis, P.; Dimoulis, A.; Kostikas, K.; Kiropoulos, T.; Gourgoulianis, K. I.
Date
2008
Keyword
Adenosine deaminase
Interferon-γ
Pleural thickening
Tuberculosis pleurisy
biological marker
ethambutol
gamma interferon
glucose
isoniazid
lactate dehydrogenase
protein
pyrazinamide
rifampicin
vasculotropin
adolescent
adult
aged
article
bacterium culture
bacterium identification
cell count
clinical article
clinical feature
controlled study
coughing
disease marker
dyspnea
fatigue
female
fever
histopathology
human
human tissue
male
Mycobacterium tuberculosis
night sweat
pH measurement
pleura biopsy
pleura effusion
pleura fluid
pleura thickening
prediction
retrospective study
smoking
sputum analysis
thoracocentesis
thorax pain
thorax radiography
tuberculin test
tuberculous pleurisy
weight reduction
Cohort Studies
Humans
Interferon Type II
Middle Aged
Pleural Effusion
Predictive Value of Tests
Retrospective Studies
Tuberculosis, Pleural
Vascular Endothelial Growth Factor A
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Abstract
Could IFN-γ predict the development of residual pleural thickening tuberculous pleurisy? I. Gerogianni, M. Papala, P. Tsopa, P. Zigoulis, A. Dimoulis, K. Kostikas, T. Kiropoulos, KI Gourgoulianis. Background. The aim of our study was to identify predictive factors for the development of residual pleural thickening (RPT) in patients with tuberculous pleurisy (TP). Methods. A retrospective study of patients with pleural tuberculosis. The clinical and radiological characteristics, and measurements of microbiological and biochemical parameters or markers such as adenosine deaminase (ADA), interferon-γ (IFN-γ) and vascular endothelial growth factor (VEGF) in pleural fluid were studied. Results. Thirty one patients (24 male and 7 female) with a mean age of 55.9 years were studied. There were 25 (80.6%) patients with RPT > 2 mm and 6 (19.4%) patients without RPT. Ten patients (32.2%) had RPT ≥ 10 mm. The rate of pleural thickening was less in small effusions (p<0.05). IFN-γ was higher in patients with RPT ≥ 10 mm (p < 0.05) in comparison with those with RPT < 10 mm. Conclusions. Pleural fluid IFN-γ may deserve further investigation in order to build up preventive and therapeutic strategies against RPT and its clinical complications.
URI
http://hdl.handle.net/11615/27817
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  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ. [9728]
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