Chylothorax in a Child with Nephrotic Syndrome
Vinay Rathore1, Deepanjan Bhattacharya1, Jaya Pandey1
1Division of Pediatric Nephrology, Department of Pediatrics, PGIMER, Chandigarh, India.
Indian Journal of Nephrology
|February 5, 2020
Summary
Chylothorax, a rare complication of nephrotic syndrome, can be caused by venous thrombosis. This case report details a child
Area of Science:
- Pediatric Nephrology
- Thoracic Medicine
- Vascular Medicine
Background:
- Nephrotic syndrome presents a risk for thromboembolic complications.
- Chylothorax is an infrequent manifestation of these complications.
Observation:
- An 8-year-old boy with nephrotic syndrome experienced persistent respiratory issues.
- Diagnostic evaluation identified left chylothorax linked to left brachiocephalic vein thrombosis.
Findings:
- Conservative management, including anticoagulation, chest tube drainage, and dietary changes, led to clinical improvement.
- Venous thrombosis should be investigated in nephrotic syndrome patients with chylothorax.
Implications:
- Early recognition of venous thrombosis in nephrotic syndrome is crucial for timely intervention.
- This case underscores the importance of considering vascular complications in pediatric nephrotic syndrome.
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