June 1988

Chyloptysis (Chylous Sputum) due to Thoracic Lymphangiectasis With Successful Surgical Correction

Author Affiliations

From the Mankato (Minn) Clinic (Dr Sanders) and the Division of Thoracic Diseases and Internal Medicine (Dr Rosenow), the Section of Thoracic and Cardiovascular Surgery (Dr Piehler), the Section of Vascular Surgery (Dr Gloviczki), and the Department of Diagnostic Radiology (Dr Brown), Mayo Clinic and Mayo Foundation, Rochester, Minn.

Arch Intern Med. 1988;148(6):1465-1466. doi:10.1001/archinte.1988.00380060229042

• A 73-year-old woman with a two-year history of recurrent episodes of respiratory distress is described. The finding of an elevated triglyceride value of 23.4 mmol/L (2072 mg/dL) and a normal cholesterol value in her sputum led to the correct diagnosis of chyloptysis after lymphangiography was performed. It is thought that congenital incompetence of the lymphatic valves was the cause of chyloptysis.

(Arch Intern Med 1988;148:1465-1466)