Absorption of Fats Studied in a Patient with Chyluria

The absorption of fats studied in a patient with chyluria. II. Palmitic and oleic acids.

The transport route for saturated and unsaturated long chain fatty acids has been well established in animal experiments. Only small amounts of these acids are absorbed via the portal vein, with the major part traveling via the lymphatics. Oleic and linoleic acids (1, 2) are absorbed similarly to long chain saturated acids (2, 3), irrespective of the form in which they are presented for absorpt...

The absorption of fats studied in a child with chylothorax.

Intestinal Absorption of Fats.

Great progress in understanding the mechanisms of fat absorption by the mammalian intestine has been made in the past decade and a half. In contrast to the contentions of rival theorists of the century before this, it has been possible for many laboratories throughout the world to confirm observations made by use of the new tools available, and to come to agreement on current interpretations of...

Microfilaruria in a Patient of Chyluria

A 38-year-old man presented with a history of passage of milky urine for the past 6 months; he had lost weight but denied dysuria and fever. Physical examination showed a thin, malnourished man weighing 52 kg and no lymphadenopathy but mild bipedal pitting edema. Urine sample showed milky-appearing urine (Figure 1A). Urinalysis showed urinary triglycerides of 167 mg/dL against serum of 84 mg/dL...

Successful treatment of massive proteinuria and severe chyluria by inhibition of cholesterol absorption with ezetimibe in a patient with filariasis

We describe a case of filariasis presenting with severe chyluria and nephrotic-range proteinuria. There were no obvious findings of glomerulonephritis in the renal biopsy. Technetium-99m-human serum albumin (Tc-99m-HSA) lymphoscintigraphy revealed the presence of communications between lymphatic channels and the urinary tract. Ezetimibe (10 mg/day) was administered during hospitalization. Chylu...