Uremic pleuritis: A case report and review of recurrent exudative pleural effusions in children

Pediatr Pulmonol. 2017 Sep;52(9):E52-E54. doi: 10.1002/ppul.23708. Epub 2017 Apr 25.


Despite similar mechanisms driving pleural fluid accumulation, the causes of pleural effusions in children differ significantly from that of adults. When a pleural effusion re-occurs in an adult, literature recommends early thoracentesis, and consideration for pleuroscopy with biopsy to guide the diagnostic evaluation. In children, there is a paucity of literature for guiding management of recurrent exudative pleural effusion. We present an unusual pediatric case of uremic pleuritis with recurrent pericardial and exudative pleural effusions.

Keywords: pleural biopsy; recurrent exudative pleural effusions; thoracentesis; uremic pleuritis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Biopsy
  • Child
  • Humans
  • Male
  • Pleura / pathology
  • Pleural Effusion / diagnosis*
  • Pleural Effusion / diagnostic imaging
  • Pleural Effusion / pathology
  • Pleural Effusion / surgery
  • Pleurisy / diagnosis*
  • Pleurisy / diagnostic imaging
  • Pleurisy / pathology
  • Pleurisy / surgery
  • Thoracoscopy
  • Uremia / diagnosis*
  • Uremia / diagnostic imaging
  • Uremia / pathology
  • Uremia / surgery
  • Young Adult