Multifocal osteolysis with chylous polyserositis and intrathoracic vein thrombosis: a diagnostic challenge for rheumatologists.

Autor: Jatuworapruk K; Division of Rheumatology, Thammasat University, Pathum Thani, Thailand., Lertnawapan R; Division of Rheumatology, Thammasat University, Pathum Thani, Thailand., Ratanabunjerdkul H; Medical Oncology Unit, Department of Internal Medicine, Thammasat University, Pathum Thani, Thailand., Kintarak J; Department of Pathology, Thammasat University, Pathum Thani, Thailand., Satdhabudha O; Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
Jazyk: angličtina
Zdroj: International journal of rheumatic diseases [Int J Rheum Dis] 2018 Jul; Vol. 21 (7), pp. 1458-1462.
DOI: 10.1111/1756-185X.13329
Abstrakt: Vanishing bone disease with multisystemic involvement may mimic systemic autoimmune or autoinflammatory diseases. We present a 19-year-old man who was hospitalized due to chest pain following a progressive osteolysis of the bony thorax. The disease later expanded into the pleura, peritoneum and pericardium in a form of massive chylous polyserositis. The patient also developed thrombosis of multiple central veins, which in turn worsened the chylothorax by increasing the pressure in the thoracic duct. This is the first case of vanishing bone disease complicated by triple chylous effusions and central vein thrombosis.
(© 2018 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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