Case of bilateral chylothorax with systemic lupus erythematosus complicated by steroid-/immunosuppressant-resistant pleural effusion

Yusuke Narita, Katsuhiko Naoki, Naoya Hida, Hiroaki Okamoto, Hiroshi Kunikane, Takahiro Omori, Masahiro Kase, Koshiro Watanabe

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 20-year-old woman, with systemic lupus erythmatosus complicated by steroid-and immunosuppressant-resistant bilateral pleural effusion, was admitted to the emergency room because of dyspnea and fever. Chest Xray film revealed bilateral massive pleural effusion. Bilateral thoracocentesis yielded fluid with chyle. Conservative treatment including intravenous hyper-alimentation and continuous drainage were performed but with no remarkable improvement. She underwent thoracoscopy-aided ligation of the thoracic duct. After the operation, bilateral pleurodesis was performed by intrathoracic injection of OK-432, because of uncontrolled pleural effusion. There have been no signs of recurrence at 10 months in this case of SLE with steroid-and immunosuppressant-resistant pleural effusion.

Original languageEnglish
Pages (from-to)120-125
Number of pages6
JournalNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Volume46
Issue number2
Publication statusPublished - 2008 Feb
Externally publishedYes

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Chylothorax
Pleural Effusion
Immunosuppressive Agents
Systemic Lupus Erythematosus
Steroids
Chyle
Picibanil
Pleurodesis
Thoracic Duct
Thoracoscopy
X-Ray Film
Dyspnea
Ligation
Hospital Emergency Service
Drainage
Fever
Thorax
Recurrence
Injections

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Case of bilateral chylothorax with systemic lupus erythematosus complicated by steroid-/immunosuppressant-resistant pleural effusion. / Narita, Yusuke; Naoki, Katsuhiko; Hida, Naoya; Okamoto, Hiroaki; Kunikane, Hiroshi; Omori, Takahiro; Kase, Masahiro; Watanabe, Koshiro.

In: Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society, Vol. 46, No. 2, 02.2008, p. 120-125.

Research output: Contribution to journalArticle

Narita, Yusuke ; Naoki, Katsuhiko ; Hida, Naoya ; Okamoto, Hiroaki ; Kunikane, Hiroshi ; Omori, Takahiro ; Kase, Masahiro ; Watanabe, Koshiro. / Case of bilateral chylothorax with systemic lupus erythematosus complicated by steroid-/immunosuppressant-resistant pleural effusion. In: Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society. 2008 ; Vol. 46, No. 2. pp. 120-125.
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