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Light's Criteria for Diagnosing Exudative Effusions

Protein Parameters
Pleural Fluid Protein
Serum Protein
LDH Parameters
Pleural Fluid LDH
Serum LDH units/L
Serum LDH Upper Limit of Normal
Light's Criteria: Exudative Effusions will have at least one of the following:
  • Pleural fluid protein / Serum protein > 0.5
  • Pleural fluid LDH / Serum LDH > 0.6
  • Pleural fluid LDH > 2/3 * Serum LDH Upper Limit of Normal
Note: While Light's Criteria are reported to be highly sensitive for exudative effusions, their specificity for exudative effusions is only 83%.
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