| A rare case of chylous ascites and chyluria in an adult nephrotic syndrome with focal segmental glomerulosclerosis. | |
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MedLine Citation:
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PMID: 17044480 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors report the first case of chylous ascites and chyluria in a 65-year-old Thai women with nephrotic syndrome due to focal segmental glomerulosclerosis (FSGS), tip variant. She presented with generalized edema and abdominal discomfort. Abdominal paracentesis revealed milky white fluid. Chylous ascites was confirmed. Abdominal and thoracic computed tomography did not show any cause of chylous ascites and chyluruia. Lymphoscintigraphy could not demonstrate lymph flow obstruction and connection between lymphatic pathway and KUB system. Those could have explained the chylous ascites or chyluria. Hypoalbuminemia-induced bowel edema may predispose to change the permeability of mucosal or serosal lymphatics. This could result in chylous ascites but the cause of chyluria could not be determined in this case. |
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Authors:
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Songkiat Lewsuwan; Talerngsak Kanjanabuch; Yingyos Avihingsanon; Kearkiat Praditpornsilpa; Somchai Eiam-Ong |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 89 Suppl 2 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-10-18 Completed Date: 2007-11-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: Thailand |
Other Details:
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Languages: eng Pagination: S253-6 Citation Subset: IM |
Affiliation:
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Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University Hospital, Bangkok, Thailand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Chyle* Chylous Ascites / diet therapy, etiology* Female Glomerulosclerosis, Focal Segmental / pathology* Humans Nephrotic Syndrome / complications*, pathology Thailand Urine* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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