Acute renal failure and bilateral kidney infiltration as the first presentation of non-Hodgkin lymphoma
IJKD-Iranian Journal of Kidney Diseases. 2009; 3 (1): 50-53
em Inglês
| IMEMR
| ID: emr-91245
ABSTRACT
Diffuse bilateral infiltration of the kidneys by lymphoma is probably the rarest cause of renal insufficiency. Moreover, acute renal failure as the initial manifestation of the lymphoma is reported only in a few cases. A 44-year-old man complaining of bilateral flank pain and weakness for 2 months was admitted with acute renal failure. Ultraonography revealed hyperechoic bilaterally enlarged kidneys and an enlarged spleen. Fat pad aspiration was negative for amyloidosis and serum protein electrophoresis was normal. Needle biopsy of the kidney and pathologic examination showed diffuse infiltration of the interstitium with lymphocytes and atypical cells. Bone marrow aspiration and biopsy were negative for malignant cells. Open kidney biopsy was performed and infiltrated cells positive for CD20 and negative for CD3 markers were observed based upon which diagnosis of diffuse large B-cell type non-Hodgkin lymphoma was made
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Exame de Medula Óssea
/
Linfoma não Hodgkin
/
Linfoma de Células B
/
Ultrassonografia
/
Complexo CD3
/
Antígenos CD20
/
Biópsia por Agulha Fina
/
Eletroforese
/
Injúria Renal Aguda
/
Neoplasias Renais
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Iran. J. Kidney Dis.
Ano de publicação:
2009
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