Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Pulmonary Lymphangiomyomatosis (LAM) Developing Chylothorax
Naofumi MORIMOTOShoji HIRASAKITadashi KAMEIAtsushi HORIIKEHirokazu MIYATAKEYuko OGITAHideharu NAKANO
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JOURNAL FREE ACCESS

2000 Volume 39 Issue 9 Pages 738-741

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Abstract

We describe a case of pulmonary lymphangiomyomatosis (LAM) with chylothorax that developed in a 46-year-old Japanese woman. This patient exhibited clinical symptoms of dyspnea and chest X-ray showed right pleural effusion. Thoracocentesis demonstrated chylous effusion. Chest computed tomography (CT) scan revealed multiple cystic lesions. Subsequent thoracoscopy revealed the chylorrhea from swelled vessels on the diaphragm. The clinical diagnosis, based on histological examinations with biopsy specimens obtained by thoracoscopy, was pulmonary LAM. Although the hormone therapy was not effective, chylous effusion was improved by the pleurodesis. Pulmonary LAM developing chylothorax is rare in Japan.
(Internal Medicine 39: 738-741, 2000)

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© The Japanese Society of Internal Medicine
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