Chylothorax as a rare manifestation of systemic lupus erythematosus flare up - case study
Vol. 30 No. 1 (2022), Case reports
Vol. 30 No. 1 (2022)

Chylothorax as a rare manifestation of systemic lupus erythematosus flare up - case study

Case reports
https://doi.org/10.35465/30.1.2022.pp90-94
Published April 9, 2022
Mohammed Jeraiby
Jazan University
M. T. Nabil
Laboratory of Pathology, King Fahad Central hospital ‒ Jazan, Saudi Arabia
I. Juahar
Department of Biochemistry, Faculty of Medicine, Jazan University ‒ Jazan, Saudi Arabia
J. A. Mohammed
Department of Biochemistry, Faculty of Medicine, Jazan University ‒ Jazan, Saudi Arabia
PDF

Keywords

SLE, Chylothorax, rare complication

How to Cite

Jeraiby, M., Nabil, M., Juahar, I., & Mohammed, J. (2022). Chylothorax as a rare manifestation of systemic lupus erythematosus flare up - case study. Rheumatology (Bulgaria), 30(1), 90-94. https://doi.org/10.35465/30.1.2022.pp90-94
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver

Download Citation

Endnote/Zotero/Mendeley (RIS) BibTeX

Abstract

We present a case of systemic lupus erythematosus (SLE), which was diagnosed before 7 years, and antirheumatic therapy was prescribed. However, following relief of the initial symptoms, the patient stopped taking medications and presented again, after being symptom-free for three years, with chylothorax and symptoms, which were entirely different from the first visit. The patient was treated with a combination of hydroxychloroquine, prednisolone and azathioprine following ruling out of malignancy and infections and responded well to the therapy.

https://doi.org/10.35465/30.1.2022.pp90-94
PDF

References

  1. StrausserJL, Flye MW. Management of nontraumatic chylothorax. Ann Thorac Surg,1981,31, 520-526.
  2. Lee CK, Han JM, Lee KN, et al. Concurrent occurrence of chylothorax, chylous ascites, and protein-losing enteropathy in systemic lupus erythematosus. J Rheumatol. 2002;29:1330Y1333.
  3. Lin YJ, Chen DY, Lan JL, Hsieh TY. Chylothorax as the initial presentation of systemic lupus erythematosus: a case report. Clin Rheumatol. 2007;26(8):1373-1374.
  4. Narita Y, Naoki K, Hida N, et al. Case of bilateral chylothorax with systemic lupus erythematosus complicated by steroid-/ immunosuppressant-resistant pleural effusion [in Japanese]. Nihon Kokyuki Gakkai Zasshi. 2008;46:120-125.
  5. Manzella DJ, Dettori PN, Hertimian ML, Melero MJ. Chylous ascites and chylothorax as presentation of a systemic pro-gression of discoid lupus. J Clin Rheumatol, 2013,19, 87-89.
  6. Soysal DE, Hizar Turan S, Ozmen M et al. A rare case of systemic lupus erythematosus with chylous ascites and chylothorax. Case Rep Rheumatol 2013:797696.
  7. Chennadi S, Charoenpong P, Zulqarnain S. Systemic lupus erythematosus (SLE) with refractory bilateral chylothorax and chylous ascites.CHEST J.2016;150(4_S):574A-A.
  8. Song P, Zhang J, Shang C, et al. Refractory chylous pleural effusion with systemic lupus erythematosus: surgical treatment when steroid/immuno- suppressant resistant. Z Rheumatol 2019;78:797-802.
  9. Jiang AA,Sweeney DA, Chylothorax and Chylous Ascites Secondary to Systemic Lupus Erythematosus Without Lymphatic Obstruction. American Journal of Respiratory and Critical Care Medicine 2020;201:A6701.
  10. Zhang GH, Zhang LL, Wang YH,Shen WB. Clinical character-istics of systemic lupus erythematosus with chylothorax and/or chylous ascites: An analysis of 15 cases in China. Med-icine (Baltimore) 2020 Dec 18;99(51):e23661 doi:10.1097/MD.0000000000023661
  11. Petri M, Orbai AM, Alarcón GS, et al. Derivation and valida-tion of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus. Ar-thritis Rheum 2012; 64:2677
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Downloads

Download data is not yet available.