Pleural anthracosis presenting with massive effusion: a rare entity

Rayhan Amiseno, Rea Ban Yu-Lin, Noraidah Masir, Lizawati Rasul Hamidi, Mohamed Faisal Abdul Hamid

Research output: Contribution to journalArticle

Abstract

Pleural anthracosis is rare and, in most cases, is diagnosed incidentally or at autopsy. We report a 67-year-old man with pleural anthracosis. He was initially referred for possible tuberculous pleural effusion and had recurrent admissions for symptomatic pleural effusion, which increased with each subsequent episode. A thoracoscopic examination demonstrated diffuse hyperpigmentation in both parietal and visceral pleura. Parietal pleural biopsy indicated granuloma with foreign body giant cell. A contrast-enhanced computed tomography (CECT) thorax showed focal plaques in parietal pleura with calcifications in the ipsilateral lung. Investigations for tuberculosis, fungal, and malignancy proved to be negative. With these results, a diagnosis of pleural anthracosis was made. This case highlights the unusual presentation of pleural anthracosis with pleural effusion.

Original languageEnglish
Article numbere00390
JournalRespirology Case Reports
Volume7
Issue number2
DOIs
Publication statusPublished - 1 Feb 2019

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Anthracosis
Pleura
Pleural Effusion
Foreign Body Giant Cells
Hyperpigmentation
Granuloma
Autopsy
Tuberculosis
Thorax
Tomography
Biopsy
Lung
Neoplasms

Keywords

  • Anthracosis
  • carbon
  • granuloma
  • pneumoconiasis
  • tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Pleural anthracosis presenting with massive effusion : a rare entity. / Amiseno, Rayhan; Ban Yu-Lin, Rea; Masir, Noraidah; Hamidi, Lizawati Rasul; Faisal Abdul Hamid, Mohamed.

In: Respirology Case Reports, Vol. 7, No. 2, e00390, 01.02.2019.

Research output: Contribution to journalArticle

Amiseno, Rayhan ; Ban Yu-Lin, Rea ; Masir, Noraidah ; Hamidi, Lizawati Rasul ; Faisal Abdul Hamid, Mohamed. / Pleural anthracosis presenting with massive effusion : a rare entity. In: Respirology Case Reports. 2019 ; Vol. 7, No. 2.
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