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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 1998  |  Volume : 9  |  Issue : 2  |  Page : 152-156
Chyluria Associated with Renal Vasculitis

1 Department of Medicine, Kuwait University, Kuwait
2 Department of Pathology, Al-Amiri Hospital, Ministry of Health, Kuwait
3 Department of Anatomy, Kuwait University, Kuwait

Correspondence Address:
Kamel Abdulmohsen El-Reshaid
Department of Medicine, Faculty of Medicine, P.O. Box 24923, 13110 Safat
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PMID: 18408292

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Chyluria is usually associated with abnormal retrograde or collateral flow of lymph from intestinal lymphatics into lymphatics of the kidney, ureter or bladder. Chyluria has been described in patients with lymphoma, carcinoma, trauma, abscess, tuberculosis, filariasis, pregnancy and stenoses of the thoracic duct. In this case report we describe a patient who presented with chyluria associated with severe hyperlipidemia due to nephrotic syndrome induced by microscopic polyangiitis. Laboratory, histological and radiological examination did not show evidence of filarial infestation, tuberculous infection or malformation of the lymphatic system. Treatment with corticosteroids and cyclophosphamide resulted in improvement of hyperlipidemia and disappearance of chyluria.

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