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It occurs due to ulcer or pus deposited inside and may be due to red gums
Guay AT, Perez JB, Heathley GJ
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This leads us to the importance of good history taking from the patient, our patient has strong family history of BAP1 mutation and recurrent pleural effusions for 5 years, hence, the patient's physicians role wasn't limited to performing thoracentesis treatment without obtaining a diagnosis and recommended specialist consult and follow up
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