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Table 1 Comparison of pleural effusion with ADA > 40 IU/L

From: Features which discriminate between tuberculosis and haematologic malignancy as the cause of pleural effusions with high adenosine deaminase

Variables

PPE

(n = 389)

TBP

(n = 375)

hMPE

(n = 85)

P value

Age, years

63 (53–71)

58 (39–73)

55 (36–66)

< 0.001a,c

Male

316 (81)

243 (65)

57 (67)

< 0.001a,c

Pleural effusion

    

 PMN (%)

85 (73–92)

6 (2–17)

3 (1–12)

< 0.001a,b,c

 Lymphocytes (%)

4 (1–9)

71 (50–84)

21 (10–48)

< 0.001a,b,c

 Eosinophils (%)

0 (0–0)

0 (0–0)

0 (0–0)

< 0.001a

 Others (%)

9 (5–18)

17 (10–27)

69 (35–87)

< 0.001a,b,c

 pH

7.3 (7.2–7.4)

7.3 (7.3–7.4)

7.4 (7.3–7.4)

< 0.001a,c

 Glucose (mg/dL)

20 (3–89)

95 (74–118)

93 (47–115)

< 0.001a,c

 Protein (g/dL)

3.9 (3.0–4.8)

5.0 (4.5–5.3)

3.6 (2.9–4.6)

< 0.001a,b

 LD (IU/L)

3421 (1878–8035)

671 (447–1023)

1803 (1037–3519)

< 0.001a,b,c

 ADA (IU/L)

67 (48–121)

84 (65–105)

76 (53–171)

< 0.001a

 LD/ADA

53.0 (32.4–76.7)

7.9 (5.6–11.4)

17.8 (11.0–29.1)

< 0.001a,b,c

Whole blood

    

 WBC (×10³/µL)

12.4 (9.0–16.3)

6.1 (5.1–7.7)

6.8 (2.9–9.9)

< 0.001a,c

 Segmented neutrophils (%)

82 (76–87)

68 (62–74)

71 (53–81)

< 0.001a,c

 Platelets (×10³/µL)

265 (152–363)

282 (227–347)

139 (61–265)

< 0.001a,b,c

 Protein (g/dL)

5.9 (5.3–6.6)

6.8 (6.2–7.2)

5.6 (4.9–6.5)

< 0.001a,b

 LD (IU/L)

488 (392–702)

462 (391–546)

1114 (612–1672)

< 0.001a,b,c

Comorbidities

    

 Solid cancer

140 (36)

50 (13)

2 (2)

< 0.001a,b,c

 Diabetes mellitus

104 (27)

57 (15)

13 (15)

< 0.001a

 History of tuberculosis

37 (10)

37 (10)

7 (8)

0.898

 Hematologic malignancy

16 (4)

15 (4)

52 (61)d

< 0.001b,c

 Heart failure

21 (5)

7 (2)

3 (4)

0.034a

 Liver cirrhosis

22 (6)

15 (4)

1 (1)

0.163

 Renal replacement therapy

16 (4)

6 (2)

1 (1)

0.067

 Connective tissue disease

10 (3)

11 (3)

0 (0)

0.287

 Transplantation

10 (3)

13 (3)

1 (1)

0.474

  1. Data are reported as median (interquartile range) and number (%)
  2. a,b,c indicate significant differences (p < 0.017) between PPE and TBP, TBP and hMPE, and PPE and hMPE, respectively
  3. dAt the time of diagnosis of pleural effusion, 52 patients had already been diagnosed with hematologic malignancies. The remaining 33 patients were diagnosed with hematologic malignancy along with their MPE.
  4. ADA = adenosine deaminase, hMPE = hematologic malignant pleural effusion, IU = international unit, LD = lactate dehydrogenase, PMN = polymorphonuclear neutrophil, PPE = parapneumonic effusion, TBP = tuberculous pleurisy, WBC = white blood cells