Large volume pleural effusions as a presenting feature of Systemic Lupus Erythematosus (SLE) may present a diagnostic and therapeutic challenge. Exudative and transudativeaetiologies are both possible as well as co-existing infectious causes. Multiple aetiologies may also be found contributing to the effusion in the same patient. The optimal therapeutic modality is not clearly established. We hereby present a case report of a 9 year old male child, illustrating these dilemmas and briefly discuss the learning points therein.
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Vol. 47 No. II
Vol. 47 No. II
