Refractory bilateral chylothorax and chylous ascites in a patient with systemic lupus erythematosus treated by pleuro-peritoneal and peritoneal-venous shunts along with cell-free and concentrated ascites re-infusion therapy

Respir Investig. 2024 Nov;62(6):1191-1194. doi: 10.1016/j.resinv.2024.10.006. Epub 2024 Oct 22.

Abstract

A pleural effusion is a common pulmonary manifestation of systemic lupus erythematosus (SLE), and differential diagnosis is needed to perform targeted treatments. An SLE patient with refractory chylothorax is presented. Chylothorax rarely occurs in SLE patients and occasionally follows a refractory clinical course despite intensive treatment with immunosuppressive therapies, resulting in a poor prognosis with malnutrition caused by frequent thoracenteses. In such cases, pleuro-peritoneal and peritoneal-venous shunts along with cell-free and concentrated ascites re-infusion therapy might be effective to improve the dyspnea while maintaining nutrition.

Keywords: Chylothorax; Pleural effusion; Systemic lupus erythematosus; Treatment.

Publication types

  • Case Reports

MeSH terms

  • Chylothorax* / etiology
  • Chylothorax* / therapy
  • Chylous Ascites* / etiology
  • Chylous Ascites* / therapy
  • Female
  • Lupus Erythematosus, Systemic* / complications
  • Peritoneovenous Shunt*
  • Pleural Effusion / etiology
  • Pleural Effusion / therapy
  • Treatment Outcome