Pleural rind
Pleural (English pleural fibrosis , pleural fibrosis, fibrothorax), also Pleuraschwiele , Pleuraverschwartung and Pleuraadhäsion called, is a thickening of the pleura ( pleura ) through the rind designated scar tissue, leading to a limitation of the lung capacity by fibrosis by inflammatory processes, such as a pleurisy or can lead to a pleural effusion . Surgical intervention is occasionally required to correct a restrictive (i.e., restricting the free movement of the lungs) pulmonary dysfunction. Localized pleural rinds with or without effusion should be carefully observed during the course and, for example, checked sonographically in order not to miss a malignant pleural tumor such as a mesothelioma .
Other names of pleural rinds are pleural synechiae , pleural growth and fibrothorax .
Symptoms and diagnosis
When breathing, a “dragging” of the diseased side can be noticed, the spine can be concave curved towards the diseased side. The spaces between the ribs are narrowed and can be visibly drawn in during inspection . The percussion shows only a slight attenuation . When listening with the stethoscope , a weakened breathing sound may be noticed. Bronchophonia and vocal freshness are also attenuated.
Web links / sources
- Two x-rays of the pleural skin
- Learning text Extrapulmonary Restriction ( Memento from March 8, 2015 in the Internet Archive )
- Joachim Frey : Diseases of the respiratory organs. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition ibid. 1961, pp. 599-746, here: pp. 738-742 ( pleural expectations ).
Individual evidence
- ^ Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. Thieme, Stuttgart 1955; 10th, revised edition ibid 1986, ISBN 3-13-352410-0 , pp. 95 and 97.
- ^ Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. 1986, p. 97.
