Treatment of Pleurisy with Refractory Pleural Effusion in Malignancy, Chronic Renal Failure, or Rheumatoid Pleurisy
When pleuritis presents with a persistent, refractory pleural effusion in the setting of an underlying chronic condition, standard first-line measures may prove insufficient. This protocol addresses that specific scenario.
Clinical scenario: Pleuritis with refractory pleural effusion arising in the context of
malignancy, chronic renal failure, or rheumatoid pleurisy —
situations where ongoing effusion persists despite initial management and the underlying condition drives continued pleural involvement.
Approach (partial overview)
A surgical intervention targeting the pleural space is considered in this refractory setting. The full structured regimen — including indication criteria, procedural details, and decision points — is available in the complete protocol.
References
Decortication is considered in cases of pleuritis associated with refractory pleural effusions resulting from malignancy, chronic renal failure, or rheumatoid pleurisy.
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