Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review
This case report describes a 23-year-old male patient who presented with right chylothorax as the initial manifestation of a severe flare of systemic lupus erythematosus (SLE) and secondary Evans syndrome. Chylothorax and chylous ascites are rare features of SLE that can occur due to the accumulatio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-07-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/11795476231186735 |
| _version_ | 1797783025634770944 |
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| author | David Corredor-Orlandelli Andrés Arévalo-Romero Carlos Reyes Dylan Arango |
| author_facet | David Corredor-Orlandelli Andrés Arévalo-Romero Carlos Reyes Dylan Arango |
| author_sort | David Corredor-Orlandelli |
| collection | DOAJ |
| description | This case report describes a 23-year-old male patient who presented with right chylothorax as the initial manifestation of a severe flare of systemic lupus erythematosus (SLE) and secondary Evans syndrome. Chylothorax and chylous ascites are rare features of SLE that can occur due to the accumulation of triglyceride-rich fluid in serous cavities. However, they have never been reported as the initial manifestation of a lupus flare. Evans syndrome is a rare disease characterized by autoimmune hemolytic anemia and immune thrombocytopenia, which can be secondary to SLE. The concomitant occurrence of both chylothorax and Evans syndrome in the setting of systemic lupus erythematosus has never been described, and the exact causative mechanisms of both entities are yet to be fully understood. In this report, we discuss our approach to this challenging case to broaden the understanding of the clinical manifestations of systemic lupus erythematosus. Our findings emphasize the importance of considering rare features of systemic lupus erythematosus and secondary diseases when evaluating patients with the disease. |
| first_indexed | 2024-03-13T00:20:15Z |
| format | Article |
| id | doaj.art-5196470433e74c268728e196c7f2d15e |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-03-13T00:20:15Z |
| publishDate | 2023-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-5196470433e74c268728e196c7f2d15e2023-07-11T16:03:50ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762023-07-011610.1177/11795476231186735Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature ReviewDavid Corredor-Orlandelli0Andrés Arévalo-Romero1Carlos Reyes2Dylan Arango3Medical Department, Fundación Clínica Abood-Shaio, Bogotá, ColombiaSchool of Medicine and Health Sciences, Universidad del Rosario, Bogotá, ColombiaSchool of Medicine and Health Sciences, Universidad Militar, Bogotá, ColombiaSchool of Medicine, Universidad del Bosque, Bogotá, ColombiaThis case report describes a 23-year-old male patient who presented with right chylothorax as the initial manifestation of a severe flare of systemic lupus erythematosus (SLE) and secondary Evans syndrome. Chylothorax and chylous ascites are rare features of SLE that can occur due to the accumulation of triglyceride-rich fluid in serous cavities. However, they have never been reported as the initial manifestation of a lupus flare. Evans syndrome is a rare disease characterized by autoimmune hemolytic anemia and immune thrombocytopenia, which can be secondary to SLE. The concomitant occurrence of both chylothorax and Evans syndrome in the setting of systemic lupus erythematosus has never been described, and the exact causative mechanisms of both entities are yet to be fully understood. In this report, we discuss our approach to this challenging case to broaden the understanding of the clinical manifestations of systemic lupus erythematosus. Our findings emphasize the importance of considering rare features of systemic lupus erythematosus and secondary diseases when evaluating patients with the disease.https://doi.org/10.1177/11795476231186735 |
| spellingShingle | David Corredor-Orlandelli Andrés Arévalo-Romero Carlos Reyes Dylan Arango Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review Clinical Medicine Insights: Case Reports |
| title | Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review |
| title_full | Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review |
| title_fullStr | Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review |
| title_full_unstemmed | Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review |
| title_short | Massive Right Chylothorax Secondary to a Severe Systemic Lupus Erythematosus Flare With Secondary Evans Syndrome: A Case Report and Literature Review |
| title_sort | massive right chylothorax secondary to a severe systemic lupus erythematosus flare with secondary evans syndrome a case report and literature review |
| url | https://doi.org/10.1177/11795476231186735 |
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