Minocycline induced lupus with yellow colored chylous exudative pleural effusion

Daniel Starobin; Vladimir Guller; Alexander Gurevich; Sari Tal

doi:10.1016/j.rmcr.2017.07.005

Minocycline induced lupus with yellow colored chylous exudative pleural effusion

Respir Med Case Rep. 2017 Jul 14:22:113-116. doi: 10.1016/j.rmcr.2017.07.005. eCollection 2017.

Authors

Daniel Starobin¹, Vladimir Guller², Alexander Gurevich³, Sari Tal²

Affiliations

¹ Pulmonary Institute, Kaplan Medical Center, Affiliated with The Hebrew University of Jerusalem, Israel, Rehovot, Israel.
² Geriatrics Department, Kaplan Medical Center, Affiliated with The Hebrew University of Jerusalem, Israel, Rehovot, Israel.
³ Harzfeld Hospital, Kaplan Medical Center, Affiliated with The Hebrew University of Jerusalem, Israel, Rehovot, Israel.

Abstract

Ninety years old male was admitted to hospital due to breathlessness. The prominent findings were extensive blue-grey skin pigmentation and large left chylothorax. Drug induced lupus was diagnosed due to either minocycline chronic treatment or no alternative illness to explain his sub-acute disease. Minocycline therapy was stopped with gradual improvement of pleural effusion and skin discoloration. This case is the first presentation of minocycline induced lupus with chylothorax.

Keywords: Chylothorax; Drug induced lupus; Minocycline; Skin pigmentation.

Publication types

Case Reports