THE USEFULNESS OF PLEURAL FLUID URIC ACIDAND ITS RATIO TO SERUM URIC ACID LEVELS IN CLASSIFYING PLEURAL EFFUSIONS AS EXUDATES AND TRANSUDATES AND ITS CORRELATION WITH LIGHT'S CRITERIA

Dr.P.Sudha; Dr.P.Karuppasamy

Volume : VIII, Issue : X, October - 2018

THE USEFULNESS OF PLEURAL FLUID URIC ACIDAND ITS RATIO TO SERUM URIC ACID LEVELS IN CLASSIFYING PLEURAL EFFUSIONS AS EXUDATES AND TRANSUDATES AND ITS CORRELATION WITH LIGHT'S CRITERIA

Dr. P. Sudha, Dr. P. Karuppasamy

Abstract :

INTRODUCTION

Pleural effusion is a very common clinical presentation of diseases. A correct diagnosis of the underlying disease is essential for the management of pleural effusion. Many criteria have been used to distinguish them, but none of them have been found to be satisfactory. Light’s criteria is the most commonly used method.

AIMS AND OBJECTIVES

To evaluate the advantages of Total Pleural fluid Uric acid and its ratio to Serum Uric acid levels in classifying Pleural Effusions as Exudates or Transudates.

MATERIALS & METHOD

This study is to be conducted among 60 patients with pleural Effusion, attending the Department of Medicine & Department of Thoracic Medicine in Govt. Rajaji Hospital, Madurai.

RESULT

By applying Pleural fluid Uric acid in patients with transudativee pleural effusion classified clinically, 96.3 % of the cases were correctly diagnosed as transudativee pleural effusion.

CONCLUSION

From our study we came to known that there was statistically significant criteria [p value<0.001] in classifying pleural effusion as exudates and transudates by using pleural fluid uric acid and pleural fluid/serum uric acid ratio.