[Medical treatment of chylous effusions in newborn infants. Apropos of 3 cases].
Identifieur interne : 000F01 ( Ncbi/Merge ); précédent : 000F00; suivant : 000F02[Medical treatment of chylous effusions in newborn infants. Apropos of 3 cases].
Auteurs : M. Jernite [France] ; L. Donato ; R. Favre ; J. Haddad ; M. Esposito ; J. MesserSource :
- Archives francaises de pediatrie [ 0003-9764 ] ; 1992.
Descripteurs français
- KwdFr :
- Ascite chyleuse (), Ascite chyleuse (diétothérapie), Ascite chyleuse (imagerie diagnostique), Chylothorax (), Chylothorax (diétothérapie), Chylothorax (imagerie diagnostique), Femelle, Grossesse, Humains, Matières grasses alimentaires (administration et posologie), Nouveau-né, Triglycéride (usage thérapeutique), Échographie prénatale.
- MESH :
- administration et posologie : Matières grasses alimentaires.
- diétothérapie : Ascite chyleuse, Chylothorax.
- imagerie diagnostique : Ascite chyleuse, Chylothorax.
- usage thérapeutique : Triglycéride.
- Ascite chyleuse, Chylothorax, Femelle, Grossesse, Humains, Nouveau-né, Échographie prénatale.
English descriptors
- KwdEn :
- Chylothorax (diagnostic imaging), Chylothorax (diet therapy), Chylothorax (therapy), Chylous Ascites (diagnostic imaging), Chylous Ascites (diet therapy), Chylous Ascites (therapy), Dietary Fats (administration & dosage), Female, Humans, Infant, Newborn, Pregnancy, Triglycerides (therapeutic use), Ultrasonography, Prenatal.
- MESH :
- chemical , administration & dosage : Dietary Fats.
- diagnostic imaging : Chylothorax, Chylous Ascites.
- diet therapy : Chylothorax, Chylous Ascites.
- chemical , therapeutic use : Triglycerides.
- therapy : Chylothorax, Chylous Ascites.
- Female, Humans, Infant, Newborn, Pregnancy, Ultrasonography, Prenatal.
Abstract
Chylous effusions are the most frequent cause of non immunologic hydrops fetalis. They can be recognized antenatally by ultrasonography. Their evacuation is sometimes necessary and medical treatment often effective.
PubMed: 1300971
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Medical treatment of chylous effusions in newborn infants. Apropos of 3 cases].</title><author><name sortKey="Jernite, M" sort="Jernite, M" uniqKey="Jernite M" first="M" last="Jernite">M. Jernite</name><affiliation wicri:level="3"><nlm:affiliation>Service de Néonatologie, CHU de Hautepierre, Strasbourg.</nlm:affiliation><country>France</country><placeName><settlement type="city">Strasbourg</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region></placeName><wicri:orgArea>Service de Néonatologie, CHU de Hautepierre</wicri:orgArea></affiliation></author><author><name sortKey="Donato, L" sort="Donato, L" uniqKey="Donato L" first="L" last="Donato">L. Donato</name></author><author><name sortKey="Favre, R" sort="Favre, R" uniqKey="Favre R" first="R" last="Favre">R. Favre</name></author><author><name sortKey="Haddad, J" sort="Haddad, J" uniqKey="Haddad J" first="J" last="Haddad">J. Haddad</name></author><author><name sortKey="Esposito, M" sort="Esposito, M" uniqKey="Esposito M" first="M" last="Esposito">M. Esposito</name></author><author><name sortKey="Messer, J" sort="Messer, J" uniqKey="Messer J" first="J" last="Messer">J. Messer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1992">1992</date><idno type="RBID">pubmed:1300971</idno><idno type="pmid">1300971</idno><idno type="wicri:Area/PubMed/Corpus">005861</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005861</idno><idno type="wicri:Area/PubMed/Curation">005861</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005861</idno><idno type="wicri:Area/PubMed/Checkpoint">005861</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005861</idno><idno type="wicri:Area/Ncbi/Merge">000F01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Medical treatment of chylous effusions in newborn infants. Apropos of 3 cases].</title><author><name sortKey="Jernite, M" sort="Jernite, M" uniqKey="Jernite M" first="M" last="Jernite">M. Jernite</name><affiliation wicri:level="3"><nlm:affiliation>Service de Néonatologie, CHU de Hautepierre, Strasbourg.</nlm:affiliation><country>France</country><placeName><settlement type="city">Strasbourg</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region></placeName><wicri:orgArea>Service de Néonatologie, CHU de Hautepierre</wicri:orgArea></affiliation></author><author><name sortKey="Donato, L" sort="Donato, L" uniqKey="Donato L" first="L" last="Donato">L. Donato</name></author><author><name sortKey="Favre, R" sort="Favre, R" uniqKey="Favre R" first="R" last="Favre">R. Favre</name></author><author><name sortKey="Haddad, J" sort="Haddad, J" uniqKey="Haddad J" first="J" last="Haddad">J. Haddad</name></author><author><name sortKey="Esposito, M" sort="Esposito, M" uniqKey="Esposito M" first="M" last="Esposito">M. Esposito</name></author><author><name sortKey="Messer, J" sort="Messer, J" uniqKey="Messer J" first="J" last="Messer">J. Messer</name></author></analytic><series><title level="j">Archives francaises de pediatrie</title><idno type="ISSN">0003-9764</idno><imprint><date when="1992" type="published">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chylothorax (diagnostic imaging)</term><term>Chylothorax (diet therapy)</term><term>Chylothorax (therapy)</term><term>Chylous Ascites (diagnostic imaging)</term><term>Chylous Ascites (diet therapy)</term><term>Chylous Ascites (therapy)</term><term>Dietary Fats (administration & dosage)</term><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Pregnancy</term><term>Triglycerides (therapeutic use)</term><term>Ultrasonography, Prenatal</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Ascite chyleuse ()</term><term>Ascite chyleuse (diétothérapie)</term><term>Ascite chyleuse (imagerie diagnostique)</term><term>Chylothorax ()</term><term>Chylothorax (diétothérapie)</term><term>Chylothorax (imagerie diagnostique)</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Matières grasses alimentaires (administration et posologie)</term><term>Nouveau-né</term><term>Triglycéride (usage thérapeutique)</term><term>Échographie prénatale</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Dietary Fats</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Matières grasses alimentaires</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Chylothorax</term><term>Chylous Ascites</term></keywords><keywords scheme="MESH" qualifier="diet therapy" xml:lang="en"><term>Chylothorax</term><term>Chylous Ascites</term></keywords><keywords scheme="MESH" qualifier="diétothérapie" xml:lang="fr"><term>Ascite chyleuse</term><term>Chylothorax</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Ascite chyleuse</term><term>Chylothorax</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Triglycerides</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chylothorax</term><term>Chylous Ascites</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Triglycéride</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Pregnancy</term><term>Ultrasonography, Prenatal</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Ascite chyleuse</term><term>Chylothorax</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Nouveau-né</term><term>Échographie prénatale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chylous effusions are the most frequent cause of non immunologic hydrops fetalis. They can be recognized antenatally by ultrasonography. Their evacuation is sometimes necessary and medical treatment often effective.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1300971</PMID><DateCreated><Year>1993</Year><Month>05</Month><Day>24</Day></DateCreated><DateCompleted><Year>1993</Year><Month>05</Month><Day>24</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9764</ISSN><JournalIssue CitedMedium="Print"><Volume>49</Volume><Issue>9</Issue><PubDate><Year>1992</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Archives francaises de pediatrie</Title><ISOAbbreviation>Arch. Fr. Pediatr.</ISOAbbreviation></Journal><ArticleTitle>[Medical treatment of chylous effusions in newborn infants. Apropos of 3 cases].</ArticleTitle><Pagination><MedlinePgn>811-4</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Chylous effusions are the most frequent cause of non immunologic hydrops fetalis. They can be recognized antenatally by ultrasonography. Their evacuation is sometimes necessary and medical treatment often effective.</AbstractText><AbstractText Label="CASE REPORTS" NlmCategory="METHODS">Case n. 1: fetal ascites was detected by ultrasonography at the 30th week of gestation. Paracentesis was performed at 36 weeks, followed 3 days later by spontaneous delivery. The newborn was fed milk formula. A second paracentesis showed a milky fluid, rich in cholesterol, triglycerides and chylomicrons. The child was fed formula rich in medium-chain triglycerides and the chylous ascites disappeared completely within 2 weeks. Case n. 2: a diagnosis of bilateral hydrothorax and hydramnios was made at the 27th week of gestation. An in utero evacuation of the hydrothorax performed at the 30th week was ineffective and a pleuro-amniotic drainage was performed 2 weeks later. The baby was born at the 35th week, and presented a moderate respiratory distress due to the hydrothorax and ascites. Aspiration of the thoracic fluid confirmed its chylous origin. The chylous effusions completely disappeared when the child was fed a high medium chain triglycerides diet. A lymphedema of legs appeared at the age of 1 month. Case n. 3: ascites, hydramnios, hydrothorax and peripheral edema were found at the 21st week of a third pregnancy (the 2 first pregnancies were complicated by lethal hydrops fetalis). Bilateral hydrothorax and peripheral edema were found again after birth at the 37th week. Diuresis and albumin-infusion led to recovery, but chylothorax and chylous ascites reaccumulated after introduction of milk formula, despite repeated evacuations and feeding medium-chain triglycerides formula. The thoracic fluid remains chylous at the age of 9 months.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In utero, and sometimes post-natal, evacuation of fluid present in the thoracic and peritoneal cavities can be necessary, depending of the functional tolerance. Medical management including feeding a low fat and/or high medium-chain triglycerides diet, and sometimes temporary total parental nutrition, is necessary, together with salt restriction, diuresis and albumin infusion as required. Most cases recover spontaneously or as a result of therapy within a few weeks.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jernite</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de Néonatologie, CHU de Hautepierre, Strasbourg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Donato</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Favre</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Haddad</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Messer</LastName><ForeName>J</ForeName><Initials>J</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Traitement médical de l'épanchement chyleux du nouveau-né. A propos de 3 cas.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Arch Fr Pediatr</MedlineTA><NlmUniqueID>0372421</NlmUniqueID><ISSNLinking>0003-9764</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D004041">Dietary Fats</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D014280">Triglycerides</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002916" MajorTopicYN="N">Chylothorax</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000178" MajorTopicYN="N">diet therapy</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002915" MajorTopicYN="N">Chylous Ascites</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000178" MajorTopicYN="N">diet therapy</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004041" MajorTopicYN="N">Dietary Fats</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014280" MajorTopicYN="N">Triglycerides</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016216" MajorTopicYN="N">Ultrasonography, Prenatal</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1992</Year><Month>11</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1992</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1992</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1300971</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li></region><settlement><li>Strasbourg</li></settlement></list><tree><noCountry><name sortKey="Donato, L" sort="Donato, L" uniqKey="Donato L" first="L" last="Donato">L. Donato</name><name sortKey="Esposito, M" sort="Esposito, M" uniqKey="Esposito M" first="M" last="Esposito">M. Esposito</name><name sortKey="Favre, R" sort="Favre, R" uniqKey="Favre R" first="R" last="Favre">R. Favre</name><name sortKey="Haddad, J" sort="Haddad, J" uniqKey="Haddad J" first="J" last="Haddad">J. Haddad</name><name sortKey="Messer, J" sort="Messer, J" uniqKey="Messer J" first="J" last="Messer">J. Messer</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Jernite, M" sort="Jernite, M" uniqKey="Jernite M" first="M" last="Jernite">M. Jernite</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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