Central conducting lymphatic anomaly with pulmonary lymphatic dysplasia causes restrictive lung disease and chronic pleural effusion
At age 13 years, after 3 years of intermittently being admitted to hospital with weight loss, exacerbations of dyspnoea, and an alpelisib-related thyroiditis, the patient had increasing fatigue and respiratory distress; pulmonary function testing indicated severe restrictive lung disease. A chest x-...
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Veröffentlicht in: | The Lancet (British edition) 2024-11, Vol.404 (10466), p.1989-1990 |
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container_end_page | 1990 |
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container_issue | 10466 |
container_start_page | 1989 |
container_title | The Lancet (British edition) |
container_volume | 404 |
creator | Gupta, Mudit Krishnamurthy, Ganesh Smith, Christopher L |
description | At age 13 years, after 3 years of intermittently being admitted to hospital with weight loss, exacerbations of dyspnoea, and an alpelisib-related thyroiditis, the patient had increasing fatigue and respiratory distress; pulmonary function testing indicated severe restrictive lung disease. A chest x-ray showed mild pulmonary oedema and an increase in the size of the right pleural effusion; repeat dynamic contrast-enhanced magnetic resonance lymphangiography showed extensive pulmonary lymphatic perfusion and a small thoracic duct (figure). Central conducting lymphatic anomaly is a heterogeneous form of a group of disorders, known as complex lymphatic anomalies, that encompasses any condition affecting the thoracic duct and cisterna chyli—the primary structures of the central lymphatic system. |
doi_str_mv | 10.1016/S0140-6736(24)02355-9 |
format | Article |
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A chest x-ray showed mild pulmonary oedema and an increase in the size of the right pleural effusion; repeat dynamic contrast-enhanced magnetic resonance lymphangiography showed extensive pulmonary lymphatic perfusion and a small thoracic duct (figure). 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A chest x-ray showed mild pulmonary oedema and an increase in the size of the right pleural effusion; repeat dynamic contrast-enhanced magnetic resonance lymphangiography showed extensive pulmonary lymphatic perfusion and a small thoracic duct (figure). 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source | Elsevier ScienceDirect Journals Complete |
subjects | Dyspnea Edema Embolization Fatigue tests Intervention Lung diseases Lymphangiography Lymphatic system Lymphedema Magnetic resonance Pleural effusion Pulmonary functions Respiration Respiratory function Thoracic duct Thyroiditis Weight loss |
title | Central conducting lymphatic anomaly with pulmonary lymphatic dysplasia causes restrictive lung disease and chronic pleural effusion |
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