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What is the difference between pleurisy and pleural effusion?

Published in Pulmonary Diseases 2 mins read

Pleurisy and pleural effusion are both conditions affecting the pleura, but they involve different processes: pleurisy is the inflammation of the pleura, while pleural effusion is the buildup of excess fluid within the pleural space.

Understanding the Pleura

The pleura consists of two thin layers of tissue that line the chest cavity and surround the lungs. A small amount of fluid normally exists between these layers, acting as a lubricant.

Key Differences

Feature Pleurisy (Pleuritis) Pleural Effusion
Definition Inflammation of the pleura Buildup of excess fluid between the pleural layers
Primary Issue Inflammation Fluid accumulation
Symptoms Sharp chest pain that worsens with breathing, coughing, or sneezing Shortness of breath, chest pain, cough
Cause Viral or bacterial infections, autoimmune disorders, chest injury Congestive heart failure, pneumonia, cancer

In Detail

  • Pleurisy (Pleuritis): According to the reference, pleurisy, or pleuritis, is characterized by the inflammation of the pleural layers. This inflammation causes the surfaces of the pleura to become rough, leading to pain when the layers rub against each other during breathing.

    • Symptoms: The most common symptom is sharp chest pain that worsens with breathing, coughing, or sneezing.
    • Causes: Pleurisy can be caused by viral or bacterial infections, autoimmune disorders, chest injury, or other underlying conditions.
  • Pleural Effusion: Pleural effusion, on the other hand, involves the accumulation of excess fluid in the pleural space (the space between the two pleural layers), as explained by the reference. While a small amount of fluid is normal for lubrication, an abnormal buildup can compress the lung and cause breathing difficulties.

    • Symptoms: Symptoms may include shortness of breath, chest pain, and cough.
    • Causes: Common causes of pleural effusion include congestive heart failure, pneumonia, cancer, and pulmonary embolism.

Example

Imagine you have a car engine. Pleurisy is like having sandpaper rubbing between the engine parts (the pleura), causing friction and pain. Pleural effusion is like having too much oil (fluid) in the engine, which can hinder its performance.

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