title: [Case of bilateral chylothorax with systemic lupus erythematosus complicated by steroid-/immunosuppressant-resistant pleural effusion].
abstract: A 20-year-old woman, with systemic lupus erythmatosus complicated by steroid-and immunosuppressant-resistant bilateral pleural effusion, was admitted to the emergency room because of dyspnea and fever. Chest Xray film revealed bilateral massive pleural effusion. Bilateral thoracocentesis yielded fluid with chyle. Conservative treatment including intravenous hyper-alimentation and continuous drainage were performed but with no remarkable improvement. She underwent thoracoscopy-aided ligation of the thoracic duct. After the operation, bilateral pleurodesis was performed by intrathoracic injection of OK-432, because of uncontrolled pleural effusion. There have been no signs of recurrence at 10 months in this case of SLE with steroid-and immunosuppressant-resistant pleural effusion.
authors.affiliation: Department of Respiratory Medicine, Yokohama Municipal Citizens' Hospital.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Narita
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Naoki
authors.forename: Naoya
authors.initials: N
authors.lastname: Hida
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Okamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kunikane
authors.forename: Takahiro
authors.initials: T
authors.lastname: Omori
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kase
authors.forename: Koshiro
authors.initials: K
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D004351:Drug Resistance; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents; D008026:Ligation; D008180:Lupus Erythematosus, Systemic / Q000209:etiology*; D010844:Picibanil / Q000008:administration & dosage; D010996:Pleural Effusion / Q000150:complications* / Q000628:therapy; D018700:Pleurodesis; D011239:Prednisolone; D013897:Thoracic Duct / Q000601:surgery; D013906:Thoracoscopy; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D010844:Picibanil; D011239:Prednisolone