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

Author:

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.

Publisher

Bulgarian Rheumatology Society

Subject

Rheumatology

Reference11 articles.

1. StrausserJL, Flye MW. Management of nontraumatic chylothorax. Ann Thorac Surg,1981,31, 520-526.

2. 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. 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. 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. 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.

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