Starobin Daniel, Guller Vladimir, Gurevich Alexander, Tal Sari
Pulmonary Institute, Kaplan Medical Center, Affiliated with The Hebrew University of Jerusalem, Israel, Rehovot, Israel.
Geriatrics Department, Kaplan Medical Center, Affiliated with The Hebrew University of Jerusalem, Israel, Rehovot, Israel.
Respir Med Case Rep. 2017 Jul 14;22:113-116. doi: 10.1016/j.rmcr.2017.07.005. eCollection 2017.
Ninety years old male was admitted to hospital due to breathlessness. The prominent findings were extensive blue-grey skin pigmentation and large left chylothorax. Drug induced lupus was diagnosed due to either minocycline chronic treatment or no alternative illness to explain his sub-acute disease. Minocycline therapy was stopped with gradual improvement of pleural effusion and skin discoloration. This case is the first presentation of minocycline induced lupus with chylothorax.
一名90岁男性因呼吸困难入院。突出表现为广泛的蓝灰色皮肤色素沉着和大量左侧乳糜胸。由于长期服用米诺环素或无其他疾病可解释其亚急性病情，诊断为药物性狼疮。停用米诺环素治疗后，胸腔积液和皮肤色素沉着逐渐改善。该病例是米诺环素诱发狼疮伴乳糜胸的首例报告。
