Case 22-1985: An 88-Year-Old Man with a Pleural Effusion

To the Editor: We enjoy reading the clinicopathological conferences, but it seems that in Case 22–1985 (May 30 issue), 1 good clinical judgment is displaced by academic interests. The patient under discussion has an exudative, lymphocytic pleural effusion and a positive intermediate skin test for tu...

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Veröffentlicht in:	The New England journal of medicine 1985-10, Vol.313 (17), p.1088-1090
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Sprache:	eng
Schlagworte:	Aged Biopsy Diagnosis, Differential Humans Male Pleural Effusion - diagnosis Thoracic Neoplasms - diagnosis Tuberculosis, Pleural - diagnosis
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description	To the Editor: We enjoy reading the clinicopathological conferences, but it seems that in Case 22–1985 (May 30 issue), 1 good clinical judgment is displaced by academic interests. The patient under discussion has an exudative, lymphocytic pleural effusion and a positive intermediate skin test for tuberculosis. He is hospitalized for a week; then a second thoracentesis is done to obtain fluid for lymphocyte studies. When the results of these studies are known, Dr. Kazemi states, "At that point it was clear that we had to proceed with a biopsy." In fact, the pleural biopsy was indicated as soon as the results . . . No extract is available for articles shorter than 400 words.
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The patient under discussion has an exudative, lymphocytic pleural effusion and a positive intermediate skin test for tuberculosis. He is hospitalized for a week; then a second thoracentesis is done to obtain fluid for lymphocyte studies. When the results of these studies are known, Dr. Kazemi states, "At that point it was clear that we had to proceed with a biopsy." In fact, the pleural biopsy was indicated as soon as the results . . . 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source	MEDLINE; ProQuest Central UK/Ireland
subjects	Aged Biopsy Diagnosis, Differential Humans Male Pleural Effusion - diagnosis Thoracic Neoplasms - diagnosis Tuberculosis, Pleural - diagnosis
title	Case 22-1985: An 88-Year-Old Man with a Pleural Effusion
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