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Los DP se comportan como exudados típicos con altos niveles de proteínas (><span class="elsevierStyleHsp" style=""></span>3,5<span class="elsevierStyleHsp" style=""></span>g/dl) y LDH (<<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>U/l); el recuento de leucocitos oscila entre 500-15.000<span class="elsevierStyleHsp" style=""></span>μl y el predomino de células nucleadas puede ser tanto de linfocitos como de polimorfonucleares. La concentración de glucosa suele ser baja y el pH es normalmente mayor de 7,30<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a>.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Los hallazgos de bajos niveles de complemento y altos títulos de ANA (><span class="elsevierStyleHsp" style=""></span>1/160) son sugestivos, pero no diagnósticos, de exudado lúpico<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">2–4</span></a> ya que algunos derrames neoplásicos, sobre todo linfomas, pueden cursar con títulos elevados<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a>. Porcel et al. demuestran que la determinación de ANA en el líquido pleural no aporta información adicional a la de su determinación en suero, y solamente se recomienda su determinación en pacientes con un lupus y un DP de etiología incierta, ya que la ausencia de ANA en el líquido iría en contra del diagnóstico de pleuritis lúpica<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Por el contrario, la presencia de células de lupus eritematoso (LE) es altamente especifica<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a>, si bien este test raramente se lleva a cabo debido al largo tiempo de preparación que precisa<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedades sistémicas y pleura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. 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