A case of the yellow nail syndrome associated with massive chylous ascites, pleural and pericardial effusions.
Identifieur interne : 00B887 ( Ncbi/Curation ); précédent : 00B886; suivant : 00B888A case of the yellow nail syndrome associated with massive chylous ascites, pleural and pericardial effusions.
Auteurs : N P Malek [Allemagne] ; K. Ocran ; U J Tietge ; H. Maschek ; K F Gratz ; C. Trautwein ; S. Wagner ; M P MannsSource :
- Zeitschrift fur Gastroenterologie [ 0044-2771 ] ; 1996.
Descripteurs français
- KwdFr :
- Adulte, Ascite chyleuse (anatomopathologie), Ascite chyleuse (diétothérapie), Ascite chyleuse (étiologie), Association thérapeutique, Biopsie, Duodénum (anatomopathologie), Humains, Jéjunum (anatomopathologie), Lymphangiectasie intestinale (), Lymphangiectasie intestinale (anatomopathologie), Lymphangiectasie intestinale (diétothérapie), Mâle, Onychopathies (anatomopathologie), Onychopathies (diétothérapie), Onychopathies (étiologie), Sérumalbumine (administration et posologie), Triglycéride (administration et posologie), Troubles de la pigmentation (anatomopathologie), Troubles de la pigmentation (diétothérapie), Troubles de la pigmentation (étiologie), Épanchement pleural (anatomopathologie), Épanchement pleural (diétothérapie), Épanchement pleural (étiologie), Épanchement péricardique (anatomopathologie), Épanchement péricardique (diétothérapie), Épanchement péricardique (étiologie).
- MESH :
- administration et posologie : Sérumalbumine, Triglycéride.
- anatomopathologie : Ascite chyleuse, Duodénum, Jéjunum, Lymphangiectasie intestinale, Onychopathies, Troubles de la pigmentation, Épanchement pleural, Épanchement péricardique.
- diétothérapie : Ascite chyleuse, Lymphangiectasie intestinale, Onychopathies, Troubles de la pigmentation, Épanchement pleural, Épanchement péricardique.
- étiologie : Ascite chyleuse, Onychopathies, Troubles de la pigmentation, Épanchement pleural, Épanchement péricardique.
- Adulte, Association thérapeutique, Biopsie, Humains, Lymphangiectasie intestinale, Mâle.
English descriptors
- KwdEn :
- Adult, Biopsy, Chylous Ascites (diet therapy), Chylous Ascites (etiology), Chylous Ascites (pathology), Combined Modality Therapy, Duodenum (pathology), Humans, Jejunum (pathology), Lymphangiectasis, Intestinal (complications), Lymphangiectasis, Intestinal (diet therapy), Lymphangiectasis, Intestinal (pathology), Male, Nail Diseases (diet therapy), Nail Diseases (etiology), Nail Diseases (pathology), Pericardial Effusion (diet therapy), Pericardial Effusion (etiology), Pericardial Effusion (pathology), Pigmentation Disorders (diet therapy), Pigmentation Disorders (etiology), Pigmentation Disorders (pathology), Pleural Effusion (diet therapy), Pleural Effusion (etiology), Pleural Effusion (pathology), Serum Albumin (administration & dosage), Triglycerides (administration & dosage).
- MESH :
- chemical , administration & dosage : Serum Albumin, Triglycerides.
- complications : Lymphangiectasis, Intestinal.
- diet therapy : Chylous Ascites, Lymphangiectasis, Intestinal, Nail Diseases, Pericardial Effusion, Pigmentation Disorders, Pleural Effusion.
- etiology : Chylous Ascites, Nail Diseases, Pericardial Effusion, Pigmentation Disorders, Pleural Effusion.
- pathology : Chylous Ascites, Duodenum, Jejunum, Lymphangiectasis, Intestinal, Nail Diseases, Pericardial Effusion, Pigmentation Disorders, Pleural Effusion.
- Adult, Biopsy, Combined Modality Therapy, Humans, Male.
Abstract
A 26-year-old male patient with a history of chronic peripheral lymphedema, yellowish coloured slow growing nails and pleural effusions since early childhood is described. After 23 years he developed a chylous ascites and scintigraphy with technetium-99m labeled albumin clearly demonstrated a diffuse protein loss involving the whole jejunum and ileum. Subsequent jejunal and duodenal biopsies showed the typical histological findings of intestinal lymphangiectasia thereby confirming a diffuse intestinal lymphatic damage. In addition to the gastrointestional symptoms the patient developed a pericardial effusion diagnosed by echocardiographic imaging. Dietary treatment with middle chained triglycerides and intravenous human albumin supplementation was followed by the reduction of the ascites and improvement of the peripheral lymphedema. To our knowledge this is the first description of the yellow nail syndrome associated with a diffuse lymphangiectasia involving the whole small bowel.
PubMed: 8956479
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Ocran</name></author><author><name sortKey="Tietge, U J" sort="Tietge, U J" uniqKey="Tietge U" first="U J" last="Tietge">U J Tietge</name></author><author><name sortKey="Maschek, H" sort="Maschek, H" uniqKey="Maschek H" first="H" last="Maschek">H. Maschek</name></author><author><name sortKey="Gratz, K F" sort="Gratz, K F" uniqKey="Gratz K" first="K F" last="Gratz">K F Gratz</name></author><author><name sortKey="Trautwein, C" sort="Trautwein, C" uniqKey="Trautwein C" first="C" last="Trautwein">C. Trautwein</name></author><author><name sortKey="Wagner, S" sort="Wagner, S" uniqKey="Wagner S" first="S" last="Wagner">S. 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Ocran</name></author><author><name sortKey="Tietge, U J" sort="Tietge, U J" uniqKey="Tietge U" first="U J" last="Tietge">U J Tietge</name></author><author><name sortKey="Maschek, H" sort="Maschek, H" uniqKey="Maschek H" first="H" last="Maschek">H. Maschek</name></author><author><name sortKey="Gratz, K F" sort="Gratz, K F" uniqKey="Gratz K" first="K F" last="Gratz">K F Gratz</name></author><author><name sortKey="Trautwein, C" sort="Trautwein, C" uniqKey="Trautwein C" first="C" last="Trautwein">C. Trautwein</name></author><author><name sortKey="Wagner, S" sort="Wagner, S" uniqKey="Wagner S" first="S" last="Wagner">S. 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(pathology)</term><term>Pericardial Effusion (diet therapy)</term><term>Pericardial Effusion (etiology)</term><term>Pericardial Effusion (pathology)</term><term>Pigmentation Disorders (diet therapy)</term><term>Pigmentation Disorders (etiology)</term><term>Pigmentation Disorders (pathology)</term><term>Pleural Effusion (diet therapy)</term><term>Pleural Effusion (etiology)</term><term>Pleural Effusion (pathology)</term><term>Serum Albumin (administration & dosage)</term><term>Triglycerides (administration & dosage)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Ascite chyleuse (anatomopathologie)</term><term>Ascite chyleuse (diétothérapie)</term><term>Ascite chyleuse (étiologie)</term><term>Association thérapeutique</term><term>Biopsie</term><term>Duodénum (anatomopathologie)</term><term>Humains</term><term>Jéjunum (anatomopathologie)</term><term>Lymphangiectasie intestinale ()</term><term>Lymphangiectasie intestinale (anatomopathologie)</term><term>Lymphangiectasie intestinale (diétothérapie)</term><term>Mâle</term><term>Onychopathies (anatomopathologie)</term><term>Onychopathies (diétothérapie)</term><term>Onychopathies (étiologie)</term><term>Sérumalbumine (administration et posologie)</term><term>Triglycéride (administration et posologie)</term><term>Troubles de la pigmentation (anatomopathologie)</term><term>Troubles de la pigmentation (diétothérapie)</term><term>Troubles de la pigmentation (étiologie)</term><term>Épanchement pleural (anatomopathologie)</term><term>Épanchement pleural (diétothérapie)</term><term>Épanchement pleural (étiologie)</term><term>Épanchement péricardique (anatomopathologie)</term><term>Épanchement péricardique (diétothérapie)</term><term>Épanchement péricardique (étiologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Serum Albumin</term><term>Triglycerides</term></keywords><keywords scheme="MESH" 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Therapy</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Association thérapeutique</term><term>Biopsie</term><term>Humains</term><term>Lymphangiectasie intestinale</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 26-year-old male patient with a history of chronic peripheral lymphedema, yellowish coloured slow growing nails and pleural effusions since early childhood is described. After 23 years he developed a chylous ascites and scintigraphy with technetium-99m labeled albumin clearly demonstrated a diffuse protein loss involving the whole jejunum and ileum. Subsequent jejunal and duodenal biopsies showed the typical histological findings of intestinal lymphangiectasia thereby confirming a diffuse intestinal lymphatic damage. In addition to the gastrointestional symptoms the patient developed a pericardial effusion diagnosed by echocardiographic imaging. Dietary treatment with middle chained triglycerides and intravenous human albumin supplementation was followed by the reduction of the ascites and improvement of the peripheral lymphedema. To our knowledge this is the first description of the yellow nail syndrome associated with a diffuse lymphangiectasia involving the whole small bowel.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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