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Pleural Thickening

Fibrous thickening of the lung membrane may restrict respiratory capacity.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göğüs Hastalıkları department. Book Appointment →

What is Pleural Thickening?

Pleural thickening is the thickening of the visceral or parietal pleura with fibrous tissue due to recurrent inflammation, infection, bleeding, or asbestos exposure. Calcification may accompany (fibrothorax).

Tuberculous pleurisy, empyema, hemothorax, asbestos exposure, and previous chest surgery are the main causes. Mild cases are asymptomatic, while severe bilateral thickening can significantly restrict respiratory capacity.

Thoracic CT is the gold standard in diagnosis and assessment of extent. It requires careful follow-up as it may be confused with mesothelioma.

Symptoms

Often asymptomatic
Shortness of breath (in widespread thickening)
Sensation of chest tightness
Exercise intolerance
Cough (depending on accompanying pathology)
Chest pain (rare)

Risk Factors

Asbestos exposure
Previous tuberculous pleurisy or empyema
Hemothorax or recurrent pleural effusion
History of chest surgery or radiotherapy
Rheumatoid arthritis (pleural involvement)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Regular thoracic CT follow-up in history of asbestos exposure
  • If shortness of breath or exercise intolerance develops
  • To exclude mesothelioma or malignant pleural disease
  • Measurement of respiratory restriction by spirometry

Treatment Methods

01
Follow-up is sufficient in asymptomatic mild cases
02
Treatment of underlying active infection or inflammation
03
Decortication surgery in severe fibrothorax and respiratory restriction
04
Biopsy and oncology consultation if mesothelioma suspected
05
Pulmonary rehabilitation (to increase exercise capacity)

Which Department to Visit?

You can visit our Göğüs Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göğüs Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.