1.A case of idiopathic chyluria.
Byoungkook IM ; Youhong LEE ; Jieun PARK ; Mijeong KIM ; Hyuckjoon CHUNG ; Heungsoo KIM ; Gyu Tae SHIN
Korean Journal of Medicine 2007;73(6):647-650
In this report, we present a case of chyluria that is a very rare urine abnormality in Korea. A 43-year-old woman was referred to our clinic with intermittent turbid and creamy-colored urine for 10 days. The urine tests, including a urine lipid profile, indicated a diagnosis of chyluria. There was no evidence of secondary causes of chyluria such as a tumor and filariasis, and a urinary-lymphatic fistula was not found. The patient was instructed to begin a high protein diet with low fat content and medium chain triglyceride oil supplementation. To the best of our knowledge, this is the first report describing a patient that presented with chyluria in Korea.
Adult
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Diagnosis
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Diet
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Female
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Filariasis
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Fistula
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Humans
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Korea
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Triglycerides
2.A Case of Chronic Renal Failure in a Polydipsic Schizophrenic Patient caused by Chronic Anticholinergic Therapy.
Il Young CHON ; Dong Joon OH ; Seung Jin CHOI ; Ji Young KIM ; Keryun AHN ; Won Joon LEE ; Ji Yeon LEE ; Haeri BAEK ; Eunji LEE ; Sangwon HAN ; Chan Bok LEE ; Sang Eun PARK ; Byoungkook IM
Korean Journal of Nephrology 2009;28(6):658-662
Anticholinergic drugs block muscarinic receptors at the detrusor muscle of the bladder. It can cause urinary retention by contracting the bladder neck. Cases of hydronephrosis, bladder dilatation as a result of polydipsia while taking anticholinergic drugs have been reported, but very few cases of chronic renal failure can be found. We report a case of a polydipsic schizophrenic patient who, after taking anticholinergic drugs as antipsychotic drugs to treat his schizophrenia for a long time, presented with chronic renal failure due to functional obstructive uropathy in the absence of demonstrable anatomic causes of obstruction.
Antipsychotic Agents
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Cholinergic Antagonists
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Contracts
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Dilatation
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Humans
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Hydronephrosis
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Kidney Failure, Chronic
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Muscles
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Neck
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Polydipsia
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Receptors, Muscarinic
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Schizophrenia
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Urinary Bladder
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Urinary Retention