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Previous Volume 347:1876-1881 December 5, 2002 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A previously healthy 17-year-old boy awoke with left-sided pleuritic chest pain. He also noticed mild dyspnea on exertion during track-and-field practice but reported no sputum production, fever, chills, or recent trauma.

Pleuritic chest pain reflects inflammation, irritation, or stretching of sensory-nerve fibers in the parietal pleura. Often, the process primarily involves the pleura, as in the case of pneumothorax, a pleural inflammatory or infectious process, or a tumor with pleural involvement. Alternatively, pleuritic pain can result from a pulmonary parenchymal process that extends to the visceral pleural surface and secondarily involves the parietal pleura, especially in the case of pneumonia . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Internal Medicine (S.B., M.M., S.S.) and the Department of Pediatrics (S.B.), University of Michigan; and the Ann Arbor Veterans Affairs Health Services Research and Development Field Program (S.S.) — both in Ann Arbor; the Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (S.W.); and the Patient Safety Enhancement Program, University of Michigan Health System, Ann Arbor (S.S.).

Address reprint requests to Dr. Bliss at the Canton Health Center, University of Michigan Health System, 1051 N. Canton Center Rd., Canton, MI 48187, or at sbliss@umich.edu.

This article has been cited by other articles:

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