Primary membranous nephrotic syndrome with chylothorax as first presentation:A case report and literature review  

作　　者：Le-Le Feng Jie Du Chen Wang Shui-Li Wang 

机构地区：[1]Department of Respiratory and Critical Care Medicine Ⅰ,Shaanxi Provincial People's Hospital,Xi'an 710068,Shaanxi Province,China [2]Department of Respiratory and Critical Care Medicine Ⅰ,Xi’an Medical University,Xi'an 710068,Shaanxi Province,China

出　　处：《World Journal of Clinical Cases》2023年第8期1823-1829,共7页世界临床病例杂志

基　　金：Supported by the Shaanxi Provincial People’s Hospital Science and Technology Development Incubation Fund Project,No.2021YJY-33.

摘　　要：BACKGROUND Primary membranous nephrotic syndrome with chylothorax as the first manifestation is an unusual condition.To date,only a few cases have been reported in clinical practice.CASE SUMMARY The clinical data of a 48-year-old man with primary nephrotic syndrome combined with chylothorax admitted to the Department of Respiratory and Critical Care Medicine of Shaanxi Provincial People's Hospital were retrospec-tively analysed.The patient was admitted to the hospital for 12 d due to shortness of breath.Imaging showed pleural effusion,laboratory tests confirmed true chylothorax,and renal biopsy revealed membranous nephropathy.After primary disease treatment and early active symptom treatment,the prognosis of the patient was good.This case suggests that chylothorax is a rare complication of primary membranous nephrotic syndrome in adults,and early lymphan-giography and renal biopsy can assist in the diagnosis when there are no contrain-dications.CONCLUSION Primary membranous nephrotic syndrome combined with chylothorax is rare in clinical practice.We report a relevant case to provide case information for clinicians and to improve diagnosis and treatment.

关 键 词：ADULT CHYLOTHORAX Primary nephrotic syndrome Membranous nephropathy Pleural effusion Case report 

分 类 号：R692[医药卫生—泌尿科学]