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Light’s criteria

Distinguishes pleural transudate from exudate using fluid and serum protein and lactate dehydrogenase (LDH).

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

Light 1972; BTS 2023 variant: pleural/serum protein >0.5; pleural/serum LDH >0.6; pleural LDH >2/3 of serum ULN.

This implementation combines Light’s criteria with the variant documented by BTS 2023: pleural LDH above two thirds of the laboratory’s serum upper limit, which differs from the absolute cutoff in the 1972 article. Use paired pleural and serum samples and the laboratory’s own upper limit; the cutoffs are strictly greater than the thresholds. The biochemical classification does not identify the cause of the effusion. The optional albumin gradient is a complementary assessment and must not, on its own, replace clinical investigation.

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g/dL · range 0.1–10
g/dL · range 1–12
U/L · range 10–20000
U/L · range 10–5000
U/L · range 100–1000
g/dL · range 0.1–6
g/dL · range 0.5–6

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Pleural fluid protein · g/dL
  • Serum protein · g/dL
  • Pleural fluid LDH · U/L
  • Serum LDH · U/L
  • Laboratory upper limit of normal for serum LDH · U/L
  • Pleural fluid albumin · g/dL
  • Serum albumin · g/dL

4/4 reference cases checked. Numerical tests are not clinical validation.

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General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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