© 2002 The Fellowship of Postgraduate Medicine
CASE REPORT
Immunological analysis of pleural fluid in post-cardiac injury syndrome
1 Department of Internal Medicine, Park Ridge Hospital, Rochester, New York
2 Division of Cardiology, Department of Internal Medicine, Illinois Masonic Medical Center, Chicago, Illinois
3 Allergy, Immunology and Rheumatology Unit, University of Rochester School of Medicine and Dentistry, Rochester, New York
Correspondence to:
Correspondence and reprint requests to:
Dr Rakesh Shrivastava, Department of Internal Medicine, Park Ridge Hospital, 1555 Long Pond Road, Rochester, NY-14626, USA;
rs243{at}hotmail.com
Post-cardiac injury syndrome (PCIS) is an inflammatory process involving pleura and pericardium secondary to cardiac injury. Even though this clinical entity has been recognised for decades, diagnosis is difficult because of lack of a diagnostic test. Antimyocardial antibody titre in pleural fluid and serum has been proposed to have diagnostic value. However there are inherent difficulties in measuring and interpreting the role of antimyocardial antibody. A case of PCIS with low pleural fluid complement level is reported, which it is believed can be useful to support the diagnosis of PCIS.
Keywords: post-cardiac injury syndrome; immunological analysis; pleural effusion
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