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About Pleural Disease
The pleura is a set of thin membranes covering the lungs and lining the chest cavity that protects and cushions the lungs. Types of pleural disease include:
- Pneumothorax: a collection of air or gas in the space surrounding the lungs
- Pleural effusion: fluid surrounding the lungs
- Pleurisy: inflammation of the pleura that causes sharp chest pain
- Mesothelioma
Pleurisy is aggravated by breathing or coughing. At times, pleurisy is associated with fluid in the chest cavity. Pleurisy may result from a wide variety of conditions, including acute viral or bacterial infection of the lung, damage from blood clots, tumors on the surface of the lungs, or even rib fractures.
A pleural effusion is an abnormal collection of fluid in the pleural space. Two types of pleural effusions can develop:
- Transudative effusions are usually caused by a cardiac condition, liver disease or kidney failure. The pleura itself is structurally normal. Congestive heart failure is the most common type of transudative effusion.
- Exudative effusions form as a result of a disease in the lung that causes irritation of the adjacent pleura or a problem that originates within the pleura itself. Cancer, tuberculosis, drug reactions, lung infections, asbestosis, and sarcoidosis are some of the diseases that can cause exudative pleural effusions.
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