Rathore Vinay, Bhattacharya Deepanjan, Pandey Jaya, Bhatia Anmol, Dawman Lesa, Tiewsoh Karalanglin
Division of Pediatric Nephrology, Department of Pediatrics, PGIMER, Chandigarh, India.
Department of Radiodiagnosis, PGIMER, Chandigarh, India.
Indian J Nephrol. 2020 Jan-Feb;30(1):32-34. doi: 10.4103/ijn.IJN_24_19. Epub 2019 Sep 17.
Chylothorax is an uncommon presentation of venous thrombosis in nephrotic syndrome. We present a case of an 8-year-old boy with nephrotic syndrome who presented with prolonged respiratory difficulty and dry cough. A detailed evaluation revealed left chylothorax secondary to thrombosis of the left brachiocephalic vein. He improved with conservative management including anticoagulation therapy, intercostal chest tube drainage, and dietary modification. This case highlights the need to consider venous thrombosis as a cause of chylothorax in patients with nephrotic syndrome to institute appropriate treatment.
乳糜胸是肾病综合征中静脉血栓形成的一种罕见表现。我们报告一例8岁肾病综合征男孩，表现为长期呼吸困难和干咳。详细评估显示左头臂静脉血栓形成继发左乳糜胸。通过包括抗凝治疗、肋间胸腔闭式引流和饮食调整在内的保守治疗，他的病情得到改善。该病例强调，对于肾病综合征患者，需要考虑静脉血栓形成是乳糜胸的病因，以便进行适当治疗。
