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Correspondence
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Volume 336:297-298 January 23, 1997 Number 4
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Case 25-1996: Tuberculous Pleuritis

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 by Drapkin, M. S.
To the Editor: In his discussion of Case 25-1996 (Aug. 15 issue),1 Dr. Drapkin seems to doubt that measurement of the levels of adenosine deaminase in pleural fluid is useful for the diagnosis of pleural tuberculosis. It is true that other conditions can elevate the levels of adenosine deaminase in pleural effusions, especially empyema, rheumatoid arthritis, and some malignant conditions, but these entities can generally be ruled out easily on the basis of clinical findings and routine biochemical and cytologic determinations in pleural fluid. Moreover, it is possible that this problem may soon be resolved, because the results of polyacrylamide-gel . . . [Full Text of this Article]

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