Idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease

Paolo Laperuta, Filomena Napolitano, Rosa Maria Di Crescenzo, Pio Zeppa, Antonio Galderisi, Carmine Selleri, Alessandro Vatrella, Mario Capunzo, Vincenzo Giuseppe Di Crescenzo
Open Medicine (Warsaw, Poland) 2016, 11 (1): 394-398
A 82-year-old patient with dyspnea and a recurrent history of pleural effusion was admitted into our unit. He performed a Chest computed tomography showing right pleural effusion. Video-assisted thoracoscopy (VATS) exploratory showed parietal pleural thickening of adipose tissue. The surgical procedure consisted, therefore, in the execution of multiple biopsies of the parietal pleura which appeared covered, on the whole surface, by islands of adipose tissue, without macroscopic pathological aspects. After the procedure was performed pleurodesis with talc. The definitive histological examination consisted of normal mesothelial cells surrounded by fatty tissue infiltrated by small lymphocytes in a patient without skin lesions or visceral or systemic signs of inflammatory involvement of the adipose tissue. We reported a rare case of idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease.

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