28 yrs old male patient presented with gradual and progressive generalized edema (bilateral scrotal edema, bilateral pleual effusion with lung atalectasis, pericardial effusion and chylous ascites) with generalized lymphadenopathy (bilateral upper deep cervical, left axillary and right inguinal lymph nodes) and multinodular goiter.This condition is not associated with fever or loss of weight.
Investigations revealed hypoalbuminemia, high LDH no malignancy by multislice CT chest and abdomen. Complete blood picture is normal except absolute neutrophelia.
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