Abstract
High amylase levels in pleural fluid have been reported frequently in pancreatic diseases, esophageal rupture, and malignant pleural effusion. 1 Light RW. Clinical manifestations and useful tests.. in: Light RW Pleural diseases. Lea & Febiger, Philadelphia1990: 39-74 Google Scholar ,2 Sahn SA. The pleura.. Am Rev Respir Dis. 1988; 138: 184-234 Crossref PubMed Scopus (514) Google Scholar Increased concentrations of amylase in pleural fluid has been considered to be suggestive of the presence of malignancy, and, in fact, malignant disease is the only cause of amylase-rich pleural effusion in some series. 3 Foresti V Villa A Zubani R. Amylase concentrations in pleural effusions [letter].. Chest. 1994; 105: 1625-1626 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar Nevertheless, benign diseases such as pneumonia, liver cirrhosis, hydronephrosis, pyelonephritis, and tuberculosis can increase amylase concentration in pleural fluid. 4 Joseph J Viney S Beck P et al. A prospective study of amylase-rich pleural effusions with special reference to amylase isoenzyme analysis.. Chest. 1992; 102: 1455-1459 Abstract Full Text Full Text PDF PubMed Scopus (50) Google Scholar
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