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Tata\e3-fc. Distinguishing Features in Chylous and Pseudochylous Effusions

>110 mg/dL Chylomicrons present


Chylous Damage or obstruction to thoracic duet . Tracona, malignancy, congenital

Sudden Milky-white or yellow-bloody Lymphocytosis


Etiology Common Causes Onset

Appearance

Microscopic

examination

Trigłycerides

Iipoprotein

electrophoresis

Pseudochylous Chronić effusion

Tuberculosis,

Rheumatoid

pleuritis

Gradual

Milky or green, metallic sheen

Mixed cellular reaction, cholesterol crystals <50 mg/dL1 Chylomicrons absent

1

Some pseudochylous effusions have triglyceride levels higher than 110 mg/dL.


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