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11 Possible Causes for Impaired Exercise Tolerance, Pleural Adhesions, Pleurisy

  • Pulmonary Tuberculosis

    We describe the case of an 82-year-old man with pulmonary tuberculosis and tuberculous pleurisy.[] Inflammation of the lung parenchyma adjacent to a pleural surface may cause pleuritic pain.[] Berger HW, Mejei E: Tuberculous pleurisy. Chest 1973;63:88–92. PubMed CrossRef Google Scholar 2.[]

  • Asbestosis

    Macroscopically, all had extensive visceral pleural fibrosis and extensive areas of adhesions, and four also had discrete parietal pleural plaques.[] Asbestos-Related Pleurisy Pleurisy occurs when layers of the pleura rub against each other. Pleurisy is sometimes referred to as pleuritis.[] Other potential complications include heart failure, collapsed lung, and pleurisy i.e., inflammation of the membrane that protects the lung.[]

  • Silicosis

    First hospitalization chest radiography showed bilateral pleural adhesions, diffuse lung fibrosis with signs of a specific lung process.[] The pleura (membrane covering the chest cavity) may get irritated causing pleurisy with chest pain that worsens during inspiration .[] Pleuritic pain , weight loss and malaise are prominent with acute silicosis and culminates with respiratory failure within 18 to 24 months.[]

  • Multidrug-resistant Tuberculosis

    Since 1990 several clusters of multidrug-resistant tuberculosis have been identified among hospitalized patients with the acquired immunodeficiency syndrome (AIDS). We investigated one such cluster in a voluntary hospital in New York. We compared exposures among 18 patients with AIDS in whom tuberculosis resistant to[…][]

  • Silicotuberculosis

    First hospitalization chest radiography showed bilateral pleural adhesions, diffuse lung fibrosis with signs of a specific lung process.[] The other developed bilateral tubercular bronchopneumonia and right tubercular pleurisy, that improved after prolonged antimycobacterial polychemotherapy.[]

  • Pulmonary Fibrosis

    At post-mortem examination adhesions of the pleural membranes were noted both over the chest wall and diaphragmatic surfaces of the lung.[] We herein report a case of upper lobe-predominant pulmonary fibrosis that developed in a 47-year-old male with a history of bilateral tuberculous pleurisy.[]

  • Pulmonary Alveolar Proteinosis

    The left pleural cavity was clear, but the fissure between the lingula and lower lobe was filled with filmy adhesions.[] Coryza, sore throat and pleuritic pain were absent. He was treated with a "sulfa drug" and bed rest for several days.[] Neither pleural adhesions nor effusions were present on the right side, but on the left, which was the site of the thoracotomy, edematous adhesions were seen in the interlobar[]

  • Restrictive Lung Disease

    Obesity is a major cause of dyspnea, exercise intolerance, functional limitation, disability, and impaired quality of life. (85-89)The following physiological conditions impair[] Pleural fibrosis, in contrast, is often associated with pathological adhesions forming between visceral and parietal pleura, which interferes directly with lung mobility.[] […] neurologic (Guillain-Barre Syndrome, polio myelitis or myasthenia gravis) Thoracic cage (chest wall deformities, kyphosis or Pickwickian syndrome) Pleural (scoliosis or pleurisy[]

  • Pericardial Effusion

    Dyspnea and reduced exercise tolerance will be early signs, progressing to severe impaired cardiac output and death in severe cases (e.g. cardiac tamponade ).[] Adhesions were divided with sharp and blunt dissection to facilitate careful chest tube placement.[] Although the differential diagnosis of chest pain is extensive, certain features point strongly to pericarditis, especially pleuritic pain that is relieved by sitting forward[]

  • Funnel Chest

    But overall exercise tolerance is usually impaired.[] It reduces pleural secretion and pain, and seems to reduce pneumothorax, pulmonary bar adhesions, and pericardial effusions.[] […] complications after thoracoplasty are hemothorax (20.2%), skin wound abscess (7.8%), pneumothorax (6.2%), subcutaneous hematoma (1.7%), post-operative pneumonia (0.6%), pleurisy[]

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