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
Hauptverfasser: Gupta, Mudit, Krishnamurthy, Ganesh, Smith, Christopher L
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container_end_page 1990
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
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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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