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
相关论文
共 50 条
  • [41] CUSHINGS SYNDROME-LIKE AND DISEASE-LIKE LESIONS IN RATS
    KASPAREITRITTINGHAUSEN, J
    HENSE, S
    DEERBERG, F
    ZEITSCHRIFT FUR VERSUCHSTIERKUNDE, 1990, 33 (05): : 229 - 234
  • [42] Presentation, response to lansoprazole therapy, and outcome of Zollinger--Ellison syndrome-like gastric acid hypersecretors
    Wilcox, Charles Mel
    Seay, Toni
    Arcury, Justin
    Hirschowitz, Basil I.
    SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2011, 46 (03) : 277 - 280
  • [43] CHARACTERIZATION OF A COMPARTMENT SYNDROME-LIKE INJURY MODEL
    Oyster, Nick
    Witt, Michelle
    Gharaibeh, Burhan
    Poddar, Minakshi
    Schneppendahl, Johannes
    Huard, Johnny
    MUSCLE & NERVE, 2015, 51 (05) : 750 - 758
  • [44] Unprovoked serotonin syndrome-like presentation of SARS-CoV-2 infection: A small case series
    Keith, Philip
    Saint-Jour, Marc
    Pusey, Frank
    Hodges, Jeremy
    Jalali, Farid
    Scott, L. Keith
    SAGE OPEN MEDICAL CASE REPORTS, 2021, 9
  • [45] THE FULMINATING COURSE OF LUPUS-ERYTHEMATOSUS WITH NEPHROTIC SYNDROME - DIAGNOSTIC ERRORS AND THERAPEUTIC PROBLEMS
    BRODERSEN, HP
    LARBIG, D
    ZEITSCHRIFT FUR RHEUMATOLOGIE, 1986, 45 (04): : 189 - 190
  • [46] Thrombosis of the inferior vena cava in a pregnant woman with nephrotic syndrome - diagnostic and therapeutic dilemma
    Tien, YC
    Yang, CW
    Ng, KK
    Wu, MS
    Lai, PC
    Huang, CC
    NEPHROLOGY DIALYSIS TRANSPLANTATION, 1999, 14 (01) : 210 - 213
  • [47] Giannottie-Crosti syndrome-like reaction
    Shaath, Tarek
    Kroshinsky, Daniela
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2016, 74 (05) : AB162 - AB162
  • [48] Sweet syndrome-like cutaneous drug reaction
    da Silva, Lissandra Melati
    Boechat, Raquel de Almeida
    da Hora, Iale Oliveira
    Pereira Pegas, Jose Roberto
    ANAIS BRASILEIROS DE DERMATOLOGIA, 2017, 92 (06) : 858 - 860
  • [49] A diagnostic and therapeutic approach to primary burning mouth syndrome
    Moghadam-Kia, Siamak
    Fazel, Nasim
    CLINICS IN DERMATOLOGY, 2017, 35 (05) : 453 - 460
  • [50] Peutz-Jeghers syndrome:Diagnostic and therapeutic approach
    Marcela Kopacova
    Ilja Tacheci
    Stanislav Rejchrt
    Jan Bures
    World Journal of Gastroenterology, 2009, 15 (43) : 5397 - 5408
12345