Chylothorax due to sarcoidosis: A unique occurrence.

Lung India

Department of Pulmonary Medicine, T. N. Medical College, BYL Nair Hospital, Mumbai, Maharashtra, India.

Published: January 2019

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330789PMC
http://dx.doi.org/10.4103/lungindia.lungindia_408_18DOI Listing

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Article Synopsis
  • The study reviews cases of chylothorax associated with sarcoidosis, analyzing 16 documented cases and a new case report.
  • The majority of cases were women, with some presenting chylothorax as an initial symptom, and 62.5% linked to thoracic duct compression or related conditions.
  • Despite the rarity of this condition, a thorough investigation into other causes is essential; corticosteroid treatment showed survival benefits among patients.
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Sarcoidosis is a rare multisystem autoimmune disease characterized by the presence of non-caseating granulomas in involved organs. We report a novel case of a 61-year-old Caucasian male with sarcoidosis presenting with recurrent chylothorax and chylous ascites. Pleural and ascitic fluid analysis revealed high triglyceride levels, consistent with chylothorax and chylous ascites, respectively.

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Chylothorax presents as exudate with lymphocytic predominance and high triglyceride-low LDH levels, usually due to a traumatic disruption of the thoracic duct, possibly iatrogenic. Other causes include malignancy, sarcoidosis, goiter, AIDS, or tuberculosis. Here we present a case of a 66-year-old male who came in with cough and shortness of breath for few weeks.

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Pulmonary manifestations of urothelial carcinoma of the bladder.

Respir Med

July 2017

Northwell Health, Department of Pulmonary, Critical Care and Sleep Medicine, 410 Lakeville Rd. Suite 107, New Hyde Park, NY 11040, United States. Electronic address:

Urothelial carcinoma (Transitional cell carcinoma) of the bladder is the pre-dominant histological type of bladder cancer in the United States and Europe. Patients with bladder cancer usually present with painless hematuria. The diagnosis is often delayed, as the symptoms are similar to various other benign conditions such as urinary tract infection, prostatitis or renal calculi.

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