title: [Chylothorax as the initial manifestation of malignant Hodgkin lymphoma].
abstract: A 22 year-old man complaining of slight thoracic pain, was found to have a right pleural effusion in his chest X-ray. The pleural aspiration yielded chylous fluid and radiological examination and biopsy of a mediastinal mass led to the diagnosis of Hodgkin's disease of the nodular sclerosis type with supra- and radiologically infradiaphragmatic disease and a pathological fracture of the sternum. After complete initial aspiration of the pleural effusion the chylothorax did not recur following initiation of a combination chemotherapy, and a clear regression of the lymphoma was found after the first 3 cycles. This case provides an example of an oligosymptomatic, right sided chylothorax as the first manifestation of Hodgkin's disease in a young immuno-competent patient.
authors.affiliation: Departement Innere Medizin, Universitätsspital Basel.
authors.forename: A
authors.initials: A
authors.lastname: Shalev
authors.forename: H
authors.initials: H
authors.lastname: Borer
authors.forename: P
authors.initials: P
authors.lastname: Reusser
authors.forename: A P
authors.initials: AP
authors.lastname: Perruchoud
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
vernacular_title: Chylothorax als Erstmanifestation eines malignen Hodgkin-Lymphoms.