tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.21292/2075-1230-2020-98-9-64-69tiblj-1466Research ArticleОБЗОРЫREVIEWSПлевральные выпоты у больных саркоидозомPleural effusion in sarcoidosis patientsСтоговаН. А.StogovaN. A.

профессор кафедры фтизиатрии,

394036 г. Воронеж, ул. Студенческая, д. 10

Professor of Phthisiology Department,

10, Studencheskaya St., Voronezh, 394036

stogova.51@mail.ruФГБОУ ВО «Воронежский государственный медицинский университет им. Н. Н. Бурденко» МЗ РФРоссияVoronezh State Medical University named after N. N. BurdenkoRussian Federation2020261020209896469Copyright © Стогова Н.А., 20202020Стогова Н.А.Stogova N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/1466

Обзор 62 источников литературы показал, что при саркоидозе легких образование плеврального выпота наблюдается у 1,1-16,7% больных. Данные торакоскопических исследований с биопсией плевры при саркоидозе выявляли поражение как висцеральной, так и париетальной плевры, что проявлялось гидротораксом, хилотораксом, гемотораксом. Среди пациентов с плевральными выпотами различной этиологии саркоидоз плевры выявляется в 1,5-4,0% случаев. Однако плевральный выпот у больных саркоидозом может быть обусловлен и сопутствующими заболеваниями (туберкулезом, микозом, сердечной, почечной, печеночной недостаточностью, тромбоэмболией легочной артерии, пневмонией, онкологическими заболеваниями). В связи с этим для этиологической диагностики плеврального выпота у больных саркоидозом целесообразна морфологическая верификация диагноза.

The article presents the review of 62 publications which demonstrated that 1.1-16.7% of patients with pulmonary sarcoidosis develop plural effusion. Data from thoracoscopic examinations with pleural biopsy in sarcoidosis revealed damage to both the visceral and parietal pleura which manifested through hydrothorax, chylothorax, and hemothorax. Among patients with pleural effusions of various etiology, pleural sarcoidosis is detected in 1.5-4.0% of cases. However, pleural effusion in patients with sarcoidosis can also be caused by concomitant diseases (tuberculosis, mycosis, cardiac, renal, and hepatic failures, pulmonary embolism, pneumonia, and oncological diseases). In this regard, it is advisable to perform morphological verification for the etiological diagnosis of pleural effusion in sarcoidosis patients.

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The authors declare that there are no conflicts of interest present.