PMID- 10464890 OWN - NLM STAT- MEDLINE DCOM- 19991007 LR - 20190905 IS - 0954-6111 (Print) IS - 0954-6111 (Linking) VI - 93 IP - 4 DP - 1999 Apr TI - Analysis of pleural fluid in idiopathic spontaneous pneumothorax; correlation of eosinophil percentage with the duration of air in the pleural space. PG - 262-7 AB - Pleural fluid analysis was performed in patients with idiopathic spontaneous pneumothorax. The objective of the study was to define the cell differentiation, and part of the cytokine profile, in relation to the duration of pneumothorax. In the 23 consecutive patients (19 men, mean age 34.2 years, 17 smokers), pleural fluid was obtained immediately after chest tube drainage (n = 6), or during thoracoscopy (n = 17). Cytospins were carried out, and supernatant analysis of the different cytokines was performed using sandwich ELISA. All concentrations were corrected for dilution. The duration of the pneumothorax was correlated with the rise in eosinophil percentage (r = 0.81, P < 0.00001) in pleural fluid. RANTES, platelet-activating factor (PAF), and monocyte chemotactic protein-1 (MCP-1) were detectable but no relationship with eosinophils or duration of the pneumothorax was found. Granulocyte-macrophage colony stimulating factor (GM-CSF) and interluekin-8 (IL-8) were not detectable. Interleukin-5 (IL-5) concentration correlated with the eosinophil concentration (r = 0.84, P = 0.037) and the eosinophil percentage (r = 0.68, P = 0.005) in the pleural fluid. Idiopathic spontaneous pneumothorax causes a time-related rise in the eosinophil percentage in the pleural space, which correlates with the level of IL-5. FAU - Smit, H J AU - Smit HJ AD - Department of Pulmonary Medicine, Free University Hospital, Amsterdam, The Netherlands. FAU - van den Heuvel, M M AU - van den Heuvel MM FAU - Barbierato, S B AU - Barbierato SB FAU - Beelen, R J AU - Beelen RJ FAU - Postmus, P E AU - Postmus PE LA - eng PT - Journal Article PL - England TA - Respir Med JT - Respiratory medicine JID - 8908438 SB - IM MH - Adult MH - *Cell Differentiation MH - Eosinophils MH - Female MH - Humans MH - Male MH - Pleural Effusion/*pathology MH - Pneumothorax/*pathology MH - Prospective Studies EDAT- 1999/08/28 00:00 MHDA- 1999/08/28 00:01 CRDT- 1999/08/28 00:00 PHST- 1999/08/28 00:00 [pubmed] PHST- 1999/08/28 00:01 [medline] PHST- 1999/08/28 00:00 [entrez] AID - S0954-6111(99)90022-7 [pii] AID - 10.1016/s0954-6111(99)90022-7 [doi] PST - ppublish SO - Respir Med. 1999 Apr;93(4):262-7. doi: 10.1016/s0954-6111(99)90022-7.