Evaluation of pleuritis

Last reviewed: 20 Aug 2025
Last updated: 11 Jun 2025

Summary

鉴别诊断

常见

  • Pneumothorax
  • Bacterial pneumonia
  • Pulmonary embolism
  • Nonmesothelioma malignancy
  • Acute coronary syndrome
  • Viral pleuritis
完整详情

不常见

  • Asbestos-related benign pleural disease
  • Mesothelioma
  • Pulmonary/extrapulmonary tuberculosis (TB)
  • Connective tissue disorders
  • Drug reactions
  • Aortic dissection
  • Postcardiac injury syndrome (PCIS)
  • Uremia
  • Cirrhosis
  • Acute pancreatitis
  • Chronic pancreatitis
完整详情

撰稿人

作者

Steve Walker, MBChB, PhD

Pleural Research Fellow

Southmead Hospital

Bristol

UK

利益声明

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

利益声明

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

鸣谢

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.

利益声明

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.

同行评议者

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

Consultant Physician

Honorary Senior Lecturer

Imperial College Healthcare Trust

Hammersmith Hospital

London

UK

利益声明

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

利益声明

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

利益声明

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.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

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

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

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.全文  摘要

参考文献

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