U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Pleural rub

MedGen UID:
10806
•Concept ID:
C0032230
•
Finding
Synonyms: Pleural Rub; Pleural Rubs; Rub, Pleural
SNOMED CT: Pleural friction rub (37636003); Pleural rub (37636003)
 
HPO: HP:0032000

Definition

An abnormal breath sound that is nonmusical, short and explosive. It is grating, rubbing, creaky, or leathery in character and present in both phases of respiration. Typically the expiratory component mirrors the inspiratory component. It occurs due to inflamed pleural surface rubbing each other during breathing. Clinically, it is important to differentiate it from crackles [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPleural rub

Professional guidelines

PubMed

Diagnosis and management of asthma in children.
Martin J, Townshend J, Brodlie M
BMJ Paediatr Open 2022 Apr;6(1) doi: 10.1136/bmjpo-2021-001277. PMID: 35648804Free PMC Article
Pediatric asthma: Principles and treatment.
Devonshire AL, Kumar R
Allergy Asthma Proc 2019 Nov 1;40(6):389-392. doi: 10.2500/aap.2019.40.4254. PMID: 31690377
Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015.
Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD
J Clin Sleep Med 2015 Jul 15;11(7):773-827. doi: 10.5664/jcsm.4858. PMID: 26094920Free PMC Article

Recent clinical studies

Etiology

Etiologies and outcomes of pleural effusions in patients with systemic lupus erythematosus.
Palavutitotai N, Buppajarntham T, Katchamart W
J Clin Rheumatol 2014 Dec;20(8):418-21. doi: 10.1097/RHU.0000000000000179. PMID: 25417677
Dexamethasone for the prevention of postpericardiotomy syndrome: A DExamethasone for Cardiac Surgery substudy.
Bunge JJ, van Osch D, Dieleman JM, Jacob KA, Kluin J, van Dijk D, Nathoe HM; Dexamethasone for Cardiac Surgery (DECS) Study Group
Am Heart J 2014 Jul;168(1):126-31.e1. Epub 2014 Apr 5 doi: 10.1016/j.ahj.2014.03.017. PMID: 24952869
Causes and evaluation of chronic dyspnea.
Wahls SA
Am Fam Physician 2012 Jul 15;86(2):173-82. PMID: 22962929
The effect of short-term prophylactic acetylsalicylic acid on the incidence of postpericardiotomy syndrome after surgical closure of atrial septal defects.
Gill PJ, Forbes K, Coe JY
Pediatr Cardiol 2009 Nov;30(8):1061-7. Epub 2009 Jul 28 doi: 10.1007/s00246-009-9495-1. PMID: 19636482
The postpericardiotomy syndrome as a cause of pleurisy in rehabilitation patients.
Kelly BM, Nicholas JJ, Chhablani R, Kavinsky CJ
Arch Phys Med Rehabil 2000 Apr;81(4):517-8. doi: 10.1053/mr.2000.3784. PMID: 10768545

Diagnosis

Detection of pathological mechano-acoustic signatures using precision accelerometer contact microphones in patients with pulmonary disorders.
Gupta P, Wen H, Di Francesco L, Ayazi F
Sci Rep 2021 Jun 28;11(1):13427. doi: 10.1038/s41598-021-92666-2. PMID: 34183695Free PMC Article
Automatic adventitious respiratory sound analysis: A systematic review.
Pramono RXA, Bowyer S, Rodriguez-Villegas E
PLoS One 2017;12(5):e0177926. Epub 2017 May 26 doi: 10.1371/journal.pone.0177926. PMID: 28552969Free PMC Article
Etiologies and outcomes of pleural effusions in patients with systemic lupus erythematosus.
Palavutitotai N, Buppajarntham T, Katchamart W
J Clin Rheumatol 2014 Dec;20(8):418-21. doi: 10.1097/RHU.0000000000000179. PMID: 25417677
Causes and evaluation of chronic dyspnea.
Wahls SA
Am Fam Physician 2012 Jul 15;86(2):173-82. PMID: 22962929
Accuracy and reliability of physical signs in the diagnosis of pleural effusion.
Kalantri S, Joshi R, Lokhande T, Singh A, Morgan M, Colford JM Jr, Pai M
Respir Med 2007 Mar;101(3):431-8. Epub 2006 Sep 11 doi: 10.1016/j.rmed.2006.07.014. PMID: 16965906

Therapy

Etiologies and outcomes of pleural effusions in patients with systemic lupus erythematosus.
Palavutitotai N, Buppajarntham T, Katchamart W
J Clin Rheumatol 2014 Dec;20(8):418-21. doi: 10.1097/RHU.0000000000000179. PMID: 25417677
Dexamethasone for the prevention of postpericardiotomy syndrome: A DExamethasone for Cardiac Surgery substudy.
Bunge JJ, van Osch D, Dieleman JM, Jacob KA, Kluin J, van Dijk D, Nathoe HM; Dexamethasone for Cardiac Surgery (DECS) Study Group
Am Heart J 2014 Jul;168(1):126-31.e1. Epub 2014 Apr 5 doi: 10.1016/j.ahj.2014.03.017. PMID: 24952869
The effect of short-term prophylactic acetylsalicylic acid on the incidence of postpericardiotomy syndrome after surgical closure of atrial septal defects.
Gill PJ, Forbes K, Coe JY
Pediatr Cardiol 2009 Nov;30(8):1061-7. Epub 2009 Jul 28 doi: 10.1007/s00246-009-9495-1. PMID: 19636482
Talc lung in a drug abuser.
Hill AD, Toner ME, FitzGerald MX
Ir J Med Sci 1990 May;159(5):147-8. doi: 10.1007/BF02937408. PMID: 2397985
The pleuropulmonary manifestations of the postcardiac injury syndrome.
Stelzner TJ, King TE Jr, Antony VB, Sahn SA
Chest 1983 Oct;84(4):383-7. doi: 10.1378/chest.84.4.383. PMID: 6617272

Prognosis

Etiologies and outcomes of pleural effusions in patients with systemic lupus erythematosus.
Palavutitotai N, Buppajarntham T, Katchamart W
J Clin Rheumatol 2014 Dec;20(8):418-21. doi: 10.1097/RHU.0000000000000179. PMID: 25417677
Dexamethasone for the prevention of postpericardiotomy syndrome: A DExamethasone for Cardiac Surgery substudy.
Bunge JJ, van Osch D, Dieleman JM, Jacob KA, Kluin J, van Dijk D, Nathoe HM; Dexamethasone for Cardiac Surgery (DECS) Study Group
Am Heart J 2014 Jul;168(1):126-31.e1. Epub 2014 Apr 5 doi: 10.1016/j.ahj.2014.03.017. PMID: 24952869
The effect of short-term prophylactic acetylsalicylic acid on the incidence of postpericardiotomy syndrome after surgical closure of atrial septal defects.
Gill PJ, Forbes K, Coe JY
Pediatr Cardiol 2009 Nov;30(8):1061-7. Epub 2009 Jul 28 doi: 10.1007/s00246-009-9495-1. PMID: 19636482
Accuracy and reliability of physical signs in the diagnosis of pleural effusion.
Kalantri S, Joshi R, Lokhande T, Singh A, Morgan M, Colford JM Jr, Pai M
Respir Med 2007 Mar;101(3):431-8. Epub 2006 Sep 11 doi: 10.1016/j.rmed.2006.07.014. PMID: 16965906
Acute pleurisy in sarcoidosis.
Gardiner IT, Uff JS
Thorax 1978 Feb;33(1):124-7. doi: 10.1136/thx.33.1.124. PMID: 644534Free PMC Article

Clinical prediction guides

Accuracy and reliability of physical signs in the diagnosis of pleural effusion.
Kalantri S, Joshi R, Lokhande T, Singh A, Morgan M, Colford JM Jr, Pai M
Respir Med 2007 Mar;101(3):431-8. Epub 2006 Sep 11 doi: 10.1016/j.rmed.2006.07.014. PMID: 16965906
Interobserver variations in clinical signs for diagnosis of pleuritis.
Bhalla A, Jajoo UN, Singh MM, Chongtham DS, Pathak S
Indian J Med Sci 1997 Sep;51(9):303-7. PMID: 9567506

Recent systematic reviews

Automatic adventitious respiratory sound analysis: A systematic review.
Pramono RXA, Bowyer S, Rodriguez-Villegas E
PLoS One 2017;12(5):e0177926. Epub 2017 May 26 doi: 10.1371/journal.pone.0177926. PMID: 28552969Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...