Densupsoontorn Narumon, Pattaragarn Anirut, Sujijantararat Phichaya
Southeast Asian J Trop Med Public Health. 2017 Mar;48(2):360-6.
We describe a clinical course of idiopathic chyluria in a previously healthy 8-year-old Thai boy, with a 1-year history of cloudy white urine undergoing antibiotic treatment. The patient was investigated for the causes but they all proved negative. Cystoscopy and retrograde pyelography demonstrated a renolymphatic fistula of the right kidney. The patient was refractory to a mediumchain triglyceride-rich diet. Ultimately, sclerotherapy with 1% povidone iodine was employed twice, which resulted in a resolution of the disorder. We emphasize that chyluria, even though a very rare condition of chylous disorders, but ultimately can be initially managed by providing a medium-chain triglyceride-rich diet and is curable by sclerotharapy. Importantly, medium-chain triglyceride-rich diet can be applied to treat other types of chylous disorders.
我们描述了一名既往健康的8岁泰国男孩特发性乳糜尿的临床病程，其有1年浑浊白色尿液病史并接受了抗生素治疗。对该患者进行了病因调查，但结果均为阴性。膀胱镜检查和逆行肾盂造影显示右肾存在肾淋巴瘘。该患者对富含中链甘油三酯的饮食治疗无效。最终，使用1%聚维酮碘进行了两次硬化治疗，使病情得到缓解。我们强调，乳糜尿尽管是一种非常罕见的乳糜性疾病，但最终最初可通过提供富含中链甘油三酯的饮食进行管理，并且可通过硬化治疗治愈。重要的是，富含中链甘油三酯的饮食可用于治疗其他类型的乳糜性疾病。
