Pleuritic Chest Pain; Where Should We Search for?

Epipericardial fat necrosis – a rare cause of pleuritic chest pain: case report and review of the literature

Epipericardial fat necrosis (EPFN) is an uncommon cause of chest pain. Typically manifesting as severe acute chest pain, EPFN can be mistaken for a serious disorder, such as pulmonary embolism or myocardial infarction. We report a case of EPFN, diagnosed tentatively based on clinical and radiographic findings, with documented resolution of the lesion on chest CT. According to our literature sea...

Investigation and management of patients with pleuritic chest pain presenting to the accident and emergency department.

The assessment of a patient with pleuritic chest pain calls for a high degree of clinical acumen and a high degree of suspicion that the diagnosis might be pulmonary embolism. This area is one of the most difficult in A&E medicine (and indeed chest medicine). One error is to "think the best" when considering the diagnosis in such patients but experience soon teaches to "think PE" and diagnose l...

Chest pain and exacerbations of bronchiectasis

BACKGROUND Bronchiectasis is a common disease and a major cause of respiratory morbidity. Chest pain has been described as occurring in the context of bronchiectasis but has not been well characterized. This study was performed to describe the characteristics of chest pain in adult bronchiectasis and to define the relationship of this pain to exacerbations. SUBJECTS AND METHODS We performed a...

Fever, cough, pleuritic chest pain, and pleural fluid eosinophilia in a 30-year-old man.

What justifies a placebo-controlled trial of Varenicline for smoking cessation in patients with COPD?

Correspondence helped to rule out concomitant silicosis in this case. 4 Patients with silicotuberculosis may have resistance to antitubercular medications, and they may need a longer duration of treatment as compared with TB alone 5 ; hence, it is important to recognize concomitant silicosis in the context of this case report. Pleuritic chest pain and pericardial effusion on echocardiogram sugg...