title: [Chyluria with "nephrotic syndrome-like" presentation: Diagnostic and therapeutic approach].
abstract: 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.
authors.affiliation: Service de néphrologie dialyse, centre hospitalier métropole Savoie, place Lucien-Biset, BP 31125, 73011 Chambéry cedex, France. Electronic address: stephane.bally@ch-metropole-savoie.fr.
authors.forename: S
authors.initials: S
authors.lastname: Bally
authors.affiliation: Service de chirurgie urologique et andrologique, centre hospitalier métropole Savoie, place Lucien-Biset, BP 31125, 73011 Chambéry cedex, France. Electronic address: alexis.demey@ch-metropole-savoie.fr.
authors.forename: A
authors.initials: A
authors.lastname: Demey
authors.affiliation: Service de radiologie, hôpital Saint-Antoine, université Pierre-et-Marie-Curie, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France. Electronic address: lionel.arrive@sat.aphp.fr.
authors.forename: L
authors.initials: L
authors.lastname: Arrivé
authors.affiliation: Service diététique, centre hospitalier métropole Savoie, place Lucien-Biset, BP 31125, 73011 Chambéry cedex, France. Electronic address: rulliercedric@yahoo.fr.
authors.forename: C
authors.initials: C
authors.lastname: Rullier
mesh_terms: D002913:Chyle; D005402:Fistula; D006801:Humans; D007674:Kidney Diseases; D008220:Lymphography; D009404:Nephrotic Syndrome; D014556:Urine
keywords: Chyluria; Chylurie; Diagnosis; Diagnostic; Lymphographie par IRM; Magnetic resonance lymphography; Nephrotic; Néphrotique; Proteinuria; Protéinurie; Traitement; Treatment