Lesión renal aguda secundaria a lisis tumoral inducida por esteroides en una adolescente con leucemia linfoblástica aguda: Rol de la alcalinización urinaria y diálisis peritoneal / Acute kidney injury secondary to steroid-induced tumor lysis in an adolescent with acute lymphoblastic leukemia: Role of urinary alkalinisation and peritoneal dialysis
Arch. argent. pediatr
;
110(6): e118-e122, dic. 2012. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-662135
RESUMEN
Una adolescente con leucemia linfoblástica aguda desarrolló un síndrome de lisis tumoral precoz y grave con lesión renal aguda luego de una dosis única y baja de esteroides. La disfunción renal se atribuyó primariamente a una nefropatía por fosfato con nefrocalcinosis debido a elevaciones extremas de este componente en sangre. La alcalinización urinaria probablemente contribuyó a su patogenia. Se utilizó diálisis peritoneal con resolución de la nefrocalcinosis y normalización de la depuración de creatinina.
ABSTRACT
An adolescent with acute lymphoblastic leukemia developed an early and severe tumor lysis syndrome with acute kidney injury after a low and single dose of steroids. Renal dysfunction was attributed primarily to phosphate nephropathy with nephrocalcinosis due to extreme elevations of phosphate in blood. Urinary alkalinization probably contributed to this development. We used peritoneal dialysis with resolution of nephrocalcinosis and normalization of creatinine clearance.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tumor Lysis Syndrome
/
Peritoneal Dialysis
/
Precursor Cell Lymphoblastic Leukemia-Lymphoma
/
Acute Kidney Injury
Type of study:
Etiology study
Limits:
Adolescent
/
Child
/
Female
/
Humans
Language:
Spanish
Journal:
Arch. argent. pediatr
Journal subject:
Pediatrics
Year:
2012
Type:
Article
Affiliation country:
Argentina
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