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(Chest. 1960;37:321-324.)
© 1960 American College of Chest Physicians

Pleural Fluid Glucose with Special Reference to its Concentration in Rheumatoid Pleurisy with Effusion

DAVID T. CARR M.D.1 and MARSCHELLE H. POWER Ph.D.2

1 Section of Medicine.
2 Section of Biochemistry.

The concentration of glucose in pleural fluids that are due to malignant lesions, congestive heart failure, pulmonary infarction, and miscellaneous inflammatory and traumatic conditions was found to be more than 60 mg.per 100 ml. of fluid in 54 of 57 fluids, and between 30 and 60 mg.per 100 ml.in the remaining three. In contrast, six patients having rheumatoid arthritis with rheumatoid pleurisy and effusion were found to have pleural-fluid glucose concentrations varying from less than 5 to 17 mg. per 100 ml.

As tuberculosis also has been reported to cause very low concentrations of glucose in pleural fluid, we concluded that the measurement of the concentration of glucose in pleural fluid was of only slight value in the differential diagnosis of the diseases causing pleurisy with effusion.






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