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- Chuan T Foo, Anna Paterson, Adam Duckworth, and Jurgen Herre.
- Department of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England. Electronic address: chuantai.foo@gmail.com.
- Chest. 2021 Dec 1; 160 (6): e609-e611.
AbstractMalignant pleural effusion is common in mesothelioma. We report a case of viscous recurrent malignant mesothelioma pleural effusion. The viscosity was due to the presence of hyaluronic acid and resulted in prolonged drainage time. The use of intrapleural hyaluronidase significantly reduced fluid viscosity and drainage duration. No adverse reactions were noted. This novel case highlights the feasibility and safety of the use of intrapleural hyaluronidase in the management of hyaluronic acid-rich viscous malignant pleural effusion.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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