Idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease

Author:

Laperuta Paolo1,Napolitano Filomena1,Di Crescenzo Rosa Maria2,Zeppa Pio3,Galderisi Antonio4,Selleri Carmine5,Vatrella Alessandro6,Capunzo Mario7,Di Crescenzo Vincenzo Giuseppe8

Affiliation:

1. 1Department of Medicine and Surgery, Thoracic Surgery Unit, University of Salerno, Italy

2. 2Department of Medicine and Surgery, Pathology Unit, Federico II University of Naples, Italy

3. 3Department of Medicine and Surgery, Pathology Unit, University of Salerno, Italy

4. 4Respiratory Disease Unit, A.O.U. “S. Giovanni di Dio & Ruggi D’Aragona”, Salerno, Italy

5. 5Hematology and Transplant Center, Department of Medicine and Surgery, University of Salerno, Salerno, Italy

6. 6Department of Medicine and Surgery, Section of Respiratory Diseases, University of Salerno, Salerno, Italy

7. 7Department of Medicine and Surgery, University of Salerno, Baronissi, 84081 Salerno, Italy

8. 8Department of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, Italy

Abstract

AbstractA 82-year-old patient with dyspnea and a recurrent history of pleural effusion was admitted into our unit. He performed a Chest computed tomography showing right pleural effusion. Video-assisted thoracoscopy (VATS) exploratory showed parietal pleural thickening of adipose tissue. The surgical procedure consisted, therefore, in the execution of multiple biopsies of the parietal pleura which appeared covered, on the whole surface, by islands of adipose tissue, without macroscopic pathological aspects. After the procedure was performed pleurodesis with talc. The definitive histological examination consisted of normal mesothelial cells surrounded by fatty tissue infiltrated by small lymphocytes in a patient without skin lesions or visceral or systemic signs of inflammatory involvement of the adipose tissue. We reported a rare case of idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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