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浑浊白色尿液。

Turbid white urine.

作者信息

Vera Manel, Molano Alejandra, Rodríguez Patricia

机构信息

Nephrology and Renal Transplantation Service , Hospital Clínic de Barcelona , C/Villarroel 170, 08036- Barcelona , Spain.

Nephrology and Renal Transplantation Service , Hospital Universitario San Ignacio , Bogotá , Colombia.

出版信息

NDT Plus. 2010 Feb;3(1):45-7. doi: 10.1093/ndtplus/sfp135. Epub 2009 Sep 25.

DOI:10.1093/ndtplus/sfp135
PMID:25949403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4421556/
Abstract

Turbid white urine 'albinuria' is defined as a urine discoloration described as milky or cloudy. One of the most frequent causes of turbid white urine is chyluria complicating filariasis (Table 1). The extant causes of albinuria are non parasitic and rare. Amongst their aetiologies stand excessive mineral sediment excretion such as calciuria and phosphaturia, massive pyuria and fungal infections, and rarely congenital malformations of the lymphatic vessels. Malingering is also possible, in patients adding milk to their urine. We observed a case of albinuria in which the diagnostic work up led to diagnosing an exceptional cause of chyluria in a patient living in a region of Colombia where filariasis is not endemic.

摘要

浑浊白色尿液“乳糜尿”被定义为尿液变色，表现为呈乳白色或浑浊状。乳糜尿最常见的原因之一是丝虫病并发的乳糜尿（表1）。乳糜尿的现存原因是非寄生虫性的且较为罕见。其病因包括过多矿物质沉积排泄，如高钙尿症和高磷尿症、大量脓尿和真菌感染，以及罕见的淋巴管先天性畸形。也有可能是诈病，即患者往尿液中添加牛奶。我们观察到一例乳糜尿病例，诊断检查发现一名居住在哥伦比亚非丝虫病流行地区的患者患有一种特殊病因的乳糜尿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/e5f1c1ee77db/sfp135fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/21fe1c97e87a/sfp135fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/0654676ed2a0/sfp135fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/e5f1c1ee77db/sfp135fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/21fe1c97e87a/sfp135fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/0654676ed2a0/sfp135fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/4421556/e5f1c1ee77db/sfp135fig3.jpg

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本文引用的文献

1
Chyluria with proteinuria or filarial nephropathy? An enigma.乳糜尿合并蛋白尿还是丝虫性肾病？一个谜团。
Parasitol Int. 2007 Sep;56(3):251-4. doi: 10.1016/j.parint.2007.03.002. Epub 2007 Mar 30.
2
Chyluria presenting as milky urine and nephrotic-range proteinuria.乳糜尿表现为乳状尿液和肾病范围蛋白尿。
Kidney Int. 2006 Oct;70(8):1518-22. doi: 10.1038/sj.ki.5001703. Epub 2006 Jul 19.
3
The origin and nature of anisotropic urinary lipids in the nephrotic syndrome.肾病综合征中各向异性尿脂质的起源与性质
饮食、膳食补充剂、药物和运动对尿液特征的物理、诊断值的影响。
Nutrients. 2024 Sep 17;16(18):3141. doi: 10.3390/nu16183141.
4
Case of chyluria mimicking nephrotic syndrome.酷似肾病综合征的乳糜尿病例。
BMJ Case Rep. 2024 Jan 2;17(1):e259042. doi: 10.1136/bcr-2023-259042.
5
Fabry Disease: Report of Two Cases with Uncommon Presentation.法布里病：两例罕见表现病例报告。
Indian J Nephrol. 2022 Nov-Dec;32(6):625-628. doi: 10.4103/ijn.ijn_263_21. Epub 2022 Oct 2.
6
Turbid urine and beef-eating rabbits: Claude Bernard (1813-78)-a founder of modern physiology.浑浊的尿液与食肉牛兔：克洛德·贝尔纳（1813 - 1878）——现代生理学的奠基人之一
NDT Plus. 2010 Aug;3(4):335-7. doi: 10.1093/ndtplus/sfq058. Epub 2010 Apr 14.
Ann Intern Med. 1961 Feb;54:205-14. doi: 10.7326/0003-4819-54-2-205.
4
"Milky" urine--a child with chyluria.“乳糜样”尿液——一名患有乳糜尿的儿童。
Eur J Pediatr. 1992 Jan;151(1):61-2. doi: 10.1007/BF02073895.