Document Detail

Recalcitrant chylothorax and chylous ascites associated with hypothyroidism.
MedLine Citation:
PMID:  8437744     Owner:  NLM     Status:  MEDLINE    
A patient with bilateral chylous effusions and chylous ascites resulting from mediastinal and periaortic radiation for Hodgkin's lymphoma is described. The chylothoraces were resistant to medical treatment as well as to surgical pleurectomy. The patient's medical condition worsened due to progression of the chylous effusions and an episode of catheter-related bacteremia complicated by respiratory failure requiring mechanical ventilation. While receiving mechanical ventilation, the patient was found to have hypothyroidism and was subsequently begun on thyroid hormone replacement therapy. Within 1 week, the chylous drainage from the pleural spaces dramatically decreased and eventually resolved. Eighteen months after beginning thyroid hormone replacement therapy, the patient continues to do well without recurrence of the chylous effusions.
M H Kollef
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  158     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-22     Completed Date:  1993-03-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  63-5     Citation Subset:  IM    
Department of Medicine, Fitzsimons Army Medical Center, Aurora, CO 80045-5001.
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MeSH Terms
Chylothorax / etiology*
Chylous Ascites / etiology*
Hodgkin Disease / complications,  radiotherapy
Hypothyroidism / complications*,  drug therapy
Respiratory Insufficiency / complications
Thyroid Hormones / therapeutic use
Reg. No./Substance:
0/Thyroid Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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