Chyluria with "nephrotic syndrome-like" presentation: Diagnostic and therapeutic approach

被引:3
|
作者
Bally, S. [1 ]
Demey, A. [2 ]
Arrive, L. [3 ]
Rullier, C. [4 ]
机构
[1] Ctr Hosp Metropole Savoie, Serv Nephrol Dialyse, Pl Lucien Biset,BP 31125, F-73011 Chambery, France
[2] Ctr Hosp Metropole Savoie, Serv Chirurg Urolog & Androl, Pl Lucien Biset,BP 31125, F-73011 Chambery, France
[3] Univ Paris 06, Hop St Antoine, Serv Radiol, 184 Rue Faubourg St Antoine, F-75012 Paris, France
[4] Ctr Hosp Metropole Savoie, Serv Dietet, Pl Lucien Biset,BP 31125, F-73011 Chambery, France
来源
PROGRES EN UROLOGIE | 2016年 / 26卷 / 16期
关键词
Chyluria; Proteinuria; Nephrotic; Magnetic resonance lymphography; Diagnosis; Treatment; URINE;
D O I
10.1016/j.purol.2016.09.073
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Chyluria implies an abnormal communication between the lymphatic system and the urinary tract. It is more frequent in endemic areas of lymphatic filariasis, which constitutes the main cause. Chyluria may mimic a nephrotic syndrome. Diagnosis of chyluria is based on urinary cytological and biocheminal analysis. Localization of the fistula needs medical imaging: cystoscopy, retrograde pyelography, lymphoscintigraphy and more recently magnetic resonance lymphography. Due to frequent spontaneous remissions, traitement can require only dietary measures. In case of malnutrition or clinical complications, sclerotherapy should be rapidly undertaken, before considering surgery of renal lymphatic disconnection. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:1153 / 1156
页数:4
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