Pleurisy, also called pleuritis, is an inflammation of the pleura, which is the moist, double-layered membrane that surrounds the lungs and lines the rib cage. The condition can make breathing extremely painful. Sometimes it is associated with another condition called pleural effusion, in which excess fluid fills the area between the membrane's layers.
The double-layered pleura protects and lubricates the surface of the lungs as they inflate and deflate within the rib cage. Normally, a thin, fluid-filled gap -- the pleural space -- allows the two layers of the pleural membrane to slide gently past each other. But when these layers become inflamed, with every breath, sneeze, or cough, their roughened surfaces rub painfully together like two pieces of sandpaper.
Recommended Related to Lung Disease/Respiratory Problems
The tuberculin skin test (TST) -- also commonly known as the PPD and performed in a doctor's office or health department -- is a reliable detector of TB in most people. It is used to detect TB in individuals at risk for new infection, such as health care workers or close contacts of infected individuals, and those at increased risk due to a weakened immune system. A small amount of liquid purified protein derivative (PPD) from the TB bacteria is injected just under the top layer of skin on your arm...
In some cases of pleurisy, excess fluid seeps into the pleural space, resulting in pleural effusion. This fluid buildup usually has a lubricating effect, relieving the pain associated with pleurisy as it reduces friction between the membrane's layers. But at the same time, the added fluid puts pressure on the lungs, reducing their ability to move freely. A large amount of fluid may cause shortness of breath. In some cases of pleural effusion, this excess liquid can become infected.
What Causes Pleurisy?
Viral infection is probably the most common cause of pleurisy. Some of the other causes include:
Pleurisy is generally only as serious as the underlying disease causing it. If you have pleurisy, you may already be undergoing treatment for the underlying disease; if not, seek medical attention immediately.