EOSINOPHILIC PLEURAL EFFUSION - REVIEW WITH PRESENTATION OF 7 NEW CASES

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Abstract
Ninety-four cases of pleural eosinophilia have been collected from the English literature. In this study, 7 more cases are added to the collected series, making a total of 101. Six of the 7 patients in the present study had one or more pleural biopsies; nonspecific pleuritis was noted in 5 cases, and rheumatoid granuloma, in the sixth. The wide variety of diseases associated with pleural eosinophilia suggests multiple eosinotactic agents. From the present study one conclusion regarding the diagnostic significance of pleural eosinophilia can be drawn: pleural eosinophilia militates greatly against tuberculosis, malignancy, and fungal disease. A need for differential cell counts on stained pleural fluid sediment should be recognized.

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