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Chest, Vol 97, 1141-1143, Copyright © 1990 by American College of Chest Physicians
ARTICLES |
M Ito, N Kojiro, T Shirasaka, Y Moriwaki, I Tachibana and T Kokubu
Department of Internal Medicine, Kinki Central Hospital, Hyogo, Japan.
The levels of soluble IL-2R were measured in pleural fluid from patients with tuberculosis pleurisy. There were significantly elevated soluble IL-2R values in tuberculous pleural fluid as compared with pleural fluid of nontuberculous etiology including malignant, bacterial and transudative pleural effusions. In patients with tuberculous pleurisy, the level of soluble IL-2R in pleural fluid was markedly greater than that in serum. Furthermore, a significant positive correlation was observed between soluble IL-2R levels and adenosine deaminase levels in tuberculous pleural fluid. These findings suggest that elevated levels of pleural fluid soluble IL-2R in tuberculous pleurisy could reflect the local proliferation of activated T-cells and may be clinically useful in the diagnostic procedures for patients with pleural tuberculosis.
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