Chylous ascites in focal segmental glomerulosclerosis

A 51-year-old woman with a history of hypertension, latent tuberculosis (TB) infection (treated with 9 months of isoniazid), a previous episode of idiopathic pancreatitis, and stage 5 chronic kidney disease secondary to primary focal segmental glomerulosclerosis (FSGS) presented for follow-up 1 week after peritoneal dialysis catheter insertion. Her FSGS was initially steroid responsive, but subsequently became refractory to treatment, and she had persistent nephrotic range proteinuria. On examination, she had mild soreness at her peritoneal catheter site and trace edema.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research