一名54岁男性，患有全身性水肿、呼吸困难及复发性双侧胸腔积液。

A 54-Year-Old Man With Anasarca, Dyspnea, and Recurrent Bilateral Pleural Effusions.

作者信息

Patil Pradnya D, Cua Yvette M, Farver Carol, Perez Rafael L, Mehta Atul C, Panchabhai Tanmay S

机构信息

Department of Hospital Medicine, Medicine Institute, Cleveland Clinic, Cleveland, OH.

Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Medicine, University of Louisville School of Medicine, Louisville, KY.

出版信息

Chest. 2017 Aug;152(2):e39-e44. doi: 10.1016/j.chest.2017.03.018.

DOI:10.1016/j.chest.2017.03.018

PMID:28797399

Abstract

A 54-year-old African-American man presented with 2 years of progressively worsening dyspnea and anasarca. Over the past 6 months he gained 30 lbs with worsening lower extremity, abdominal wall, and scrotal edema. A recent workup for cardiac, renal, and liver disease, including two-dimensional echocardiogram, liver and renal function tests, and abdominal ultrasound, was unremarkable. He reported a 15-pack year history of smoking and quit 3 years ago. Chest radiograph at that time revealed bilateral pleural effusions that were both reportedly milky in appearance when drained by thoracenteses.

摘要

一名54岁的非裔美国男性，出现进行性加重的呼吸困难和全身性水肿达2年。在过去6个月里，他体重增加了30磅，下肢、腹壁和阴囊水肿加重。近期针对心脏、肾脏和肝脏疾病进行的检查，包括二维超声心动图、肝肾功能检查和腹部超声，均无异常。他有15年的吸烟史，3年前戒烟。当时的胸部X线片显示双侧胸腔积液，据报道胸腔穿刺引流时积液外观均呈乳糜状。