乳糜尿合并蛋白尿还是丝虫性肾病？一个谜团。

Chyluria with proteinuria or filarial nephropathy? An enigma.

作者信息

Gulati Sameer, Gupta Naresh, Singh N P, Batra S, Garg Sandeep, Beniwal Pankaj, Kumar Sachin

机构信息

Department of Medicine, Maulana Azad Medical College, New Delhi 110002, India.

出版信息

Parasitol Int. 2007 Sep;56(3):251-4. doi: 10.1016/j.parint.2007.03.002. Epub 2007 Mar 30.

DOI:10.1016/j.parint.2007.03.002

PMID:17490910

Abstract

Lymphatic filariasis is endemic in India. Out of 128 million infected individuals worldwide, India accounts for 48 million cases [Manson's Tropical Diseases, 21st Ed. p 1488]. Filariasis can have protean manifestations, but Tropical pulmonary eosinophilia and chyluria are unusual manifestations reported mainly from South Asian countries [Manson's Tropical Diseases, 21st Ed. p 1494]. Chyluria occurs only in 2% of filarial afflicted patients in the filarial belt [Diamond E, Schapira HE. Chyluria--a review of literature. Urology 1985;26(5): 427-31]. Lymphatic filariasis presenting as chyluria may be equally rare. Predominant chyluria with no overt lymphatic filariasis remains an enigma.

摘要

淋巴丝虫病在印度呈地方性流行。在全球1.28亿受感染个体中，印度占4800万例[《曼森热带病学》第21版，第1488页]。丝虫病可有多种表现形式，但热带肺嗜酸性粒细胞增多症和乳糜尿是主要在南亚国家报告的不常见表现[《曼森热带病学》第21版，第1494页]。在丝虫病流行带，仅2%的丝虫病患者会出现乳糜尿[戴蒙德E，沙皮拉HE。乳糜尿——文献综述。《泌尿学》1985年；26(5):427 - 31]。以乳糜尿形式出现的淋巴丝虫病可能同样罕见。以乳糜尿为主且无明显淋巴丝虫病的情况仍然是一个谜。