Main characteristics of pleural fluid allowing to diagnose or exclude hepatic hydrothorax
Light’s criteria for exudative effusion if at least one criterion is present |
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Pleural fluid protein/serum protein ratio > 0.5 |
Pleural fluid LDH > 200 IU/L or > 2/3 serum LDH |
Pleural fluid LDH/serum LDH > 0.6 |
Main characteristics of hepatic hydrothorax |
Serum protein < 25 g/L |
Pleural fluid protein/serum protein ratio < 0.5 |
Pleural fluid LDH < 200 IU/L |
Pleural fluid LDH/serum LDH < 0.6 |
Albumin gradient (serum-pleural) > 11 g/L |
Pleural fluid pH > 7.3 |
Neutrophils in pleural fluid < 500/mm3 with negative culture |
LDH: lactate dehydrogenase. Hepatic hydrothorax is a transudative pleura effusion
TT: Writing—original draft, Validation, Writing—review & editing, Supervision. SR, AA, BAB, and HMD: Writing—original draft. JFDC: Visualization. All authors read and approved the submitted version.
Prof. Jean François D. Cadranel is the Editorial Board Member of Exploration of Digestive Diseases, but he had no involvement in the journal review process of this manuscript. The other authors declare that they have no conflicts of interest.
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© The Author(s) 2024.