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Pleurisy


Inflammation of the pleura (the lining of the chest cavity from the inside and covering the lungs) with the formation of fibrinous plaque on its surface or effusion (fluid) in its cavity. Always secondary, is a manifestation or complication of many diseases. Can be put forward in the clinical picture at the forefront, thereby masking the underlying disease. The causative agents of pleurisy (mycobacterium tuberculosis, pneumococcus, staphylococcus, etc., pale treponema, viruses, fungi) penetrate the pleura by contact, through lymph, blood, or in violation of pleura integrity (penetrating chest injury, rib fractures). Frequent causes of pleurisy are systemic connective tissue diseases (rheumatic fever, systemic lupus erythematosus), as well as neoplasms, thromboembolism, and thrombosis of the pulmonary artery.
Symptoms and course are determined by localization, prevalence, the nature of inflammation of the pleura, changes in the function of neighboring organs. The main forms of pleurisy: dry, or fibrinous, and effusive, or exudative.






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