Assessment of pleuritis

Última revisión: 16 Aug 2025
Última actualización: 11 Jun 2025

Resumen

Diferenciales

Común

  • Pneumothorax
  • Bacterial pneumonia
  • Pulmonary embolism
  • Non-mesothelioma malignancy
  • Acute coronary syndrome
  • Viral pleuritis
Todos los datos

Infrecuente

  • Asbestos-related benign pleural disease
  • Mesothelioma
  • Pulmonary/extrapulmonary tuberculosis (TB)
  • Connective tissue disorders
  • Drug reactions
  • Aortic dissection
  • Post-cardiac injury syndrome (PCIS)
  • Uraemia
  • Cirrhosis
  • Acute pancreatitis
  • Chronic pancreatitis
Todos los datos

Colaboradores

Autores

Steve Walker, MBChB, PhD

Pleural Research Fellow

Southmead Hospital

Bristol

UK

Divulgaciones

SW declares that he has no competing interests.

Nicholas Maskell, FRCP, DM

Consultant Senior Lecturer

Department of Clinical Sciences

Southmead Hospital

University of Bristol

Bristol

UK

Divulgaciones

NM has received an honorarium from BD for sitting on their advisory board. Their products have no relation to the contents of this topic.

Agradecimientos

Dr Steve Walker and Dr Nicholas Maskell would like to gratefully acknowledge Dr Kathryn Bateman, Dr Praveen Mannam, and Dr Terence K. Trow, previous contributors to this topic. The contributors would also like to thank Dr Ami N. Rubinowitz, Assistant Professor of Medicine, Division of Radiology, Yale University School of Medicine, New Haven, CT, for providing the images.

Divulgaciones

KB and PM declare that they have no competing interests. TKT is on the Advisory Board for Encysive, Actelion, United Therapeutics, and Gilead Pharmaceuticals and the Speaker's Bureau for Encysive, Actelion, and United Therapeutics.

Revisores por pares

Philip W. Ind, BA (Cantab), MB BChir, MA (Cantab), FRCP

Consultant Physician

Honorary Senior Lecturer

Imperial College Healthcare Trust

Hammersmith Hospital

London

UK

Divulgaciones

PWI declares that he has no competing interests.

Sangeeta Bhorade, MD

Associate Professor of Medicine and Medical Director

Lung Transplant Program

University of Chicago Hospitals

Chicago

IL

Divulgaciones

SB declares that she has no competing interests.

Sanjay Sethi, MD

Professor of Medicine

Division Chief

Pulmonary/Critical Care/Sleep Medicine

University at Buffalo

State University of New York

Section Chief

Pulmonary/Critical Care/Sleep Medicine

VA Western New York Healthcare System

Buffalo

NY

Divulgaciones

SS declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Lee RW, Hodgson LE, Jackson MB, et al. Problem based review: pleuritic chest pain. Acute Med. 2012;11(3):172-82. Resumen

Roberts ME, Rahman NM, Maskell NA, et al. British Thoracic Society guideline for pleural disease. Thorax. 2023 Jul;78(suppl 3):s1-42.Full text

Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An Official Clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-67.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Assessment of pleuritis images
  • Guidelines

    • Tuberculosis
    • Diagnosis and treatment of adults with community-acquired pneumonia. an official clinical practice guideline
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  • Calculators

    PERC Rule for the Assessment of Possible Pulmonary Embolism

    Pulmonary Embolism Wells Score

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  • Videos

    Needle decompression of tension pneumothorax animated demonstration

    Insertion of intercostal drain, open technique: animated demonstration

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