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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pleural Effusion?

hi,

Actually my father is getting recurrent fluid in lungs. X-ray report says its "Plerual effusion" and we have gone thru the test like CT scan, PET/CT scan and Bronoscopy. Everything was normal. But in the beginning ADA cells range was 196. Now it has come down to 55. May i know what can be the reason
Mon, 16 May 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
There are two thin pleural layers surrounding lungs.
When fluid accumulates between these layers, it is known as pleural effusion.
ADA (adenosine Deaminase) is an enzyme found in lymphocytes.
So ADA measurement in pleural fluid indirectly suggests lymphocytes activity in fluid.
So ADA value of 196 is suggestive of lymphocyte rich pleural effusion. And most common cause for this is tuberculosis.
And in TB there is recurrent pleural effusion.
So better to consult TB specialist and get done pleural fluid AFB culture and sensitivity report for tuberculosis.
Don't worry, he will be alright with anti TB drugs.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
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What Does Pleural Effusion?

Thanks for your question on Healthcare Magic. I can understand your concern. There are two thin pleural layers surrounding lungs. When fluid accumulates between these layers, it is known as pleural effusion. ADA (adenosine Deaminase) is an enzyme found in lymphocytes. So ADA measurement in pleural fluid indirectly suggests lymphocytes activity in fluid. So ADA value of 196 is suggestive of lymphocyte rich pleural effusion. And most common cause for this is tuberculosis. And in TB there is recurrent pleural effusion. So better to consult TB specialist and get done pleural fluid AFB culture and sensitivity report for tuberculosis. Don t worry, he will be alright with anti TB drugs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.