一名患有克罗恩病的年轻女性的乳糜胸。

IF 9.5 1区医学 Q1 CRITICAL CARE MEDICINE

Chest Pub Date : 2024-09-01 DOI:10.1016/j.chest.2024.04.030

Daniel Ryan Brophy,Jeffrey Graham,Scott K Aberegg

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引用次数: 0

摘要

乳糜胸占胸腔积液的 1%-3%，通常由手术（创伤性）或潜在恶性肿瘤（非创伤性）引起。非创伤性乳糜胸的病因很多，包括先天性淋巴异常、结缔组织疾病、肝硬化和感染等。1 我们描述的似乎是第一例由克罗恩病乳糜腹水引起的乳糜胸病例。本病例强调了尽可能使用诊断证据将新症状与原有疾病联系起来的重要性，以及克罗恩病的全身性。

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Chylothorax in a Young Woman With Crohn Disease.

Chylothorax, which accounts for 1% to 3% of pleural effusions, typically results from either surgery (traumatic) or underlying malignancy (nontraumatic). Less common causes of nontraumatic chylothorax are numerous and include congenital lymphatic abnormalities, connective tissue diseases, cirrhosis, and infection, among others.1 We describe what appears to be the first reported case of chylothorax caused by chylous ascites in Crohn disease. This case highlights the importance of using diagnostic evidence to link new symptoms to preexisting diseases whenever possible, as well as the systemic nature of Crohn disease.

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来源期刊

Chest 医学-呼吸系统

CiteScore

13.70

自引率

3.10%

发文量

3369

审稿时长

15 days

期刊介绍： At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.