Acute kidney injury secondary to renal large B-cell lymphoma: role of early renal biopsy

被引：23

作者：

Al-Salam, Suhail ^{[1
]}

Shaaban, Ahmad ^{[2
]}

Alketbi, Maha ^{[2
]}

Haq, Naveed U. ^{[2
]}

Abouchacra, Samra ^{[2
]}

机构：

[1] United Arab Emirates Univ, Fac Med & Hlth Sci, Dept Pathol, Al Ain, U Arab Emirates

[2] Tawam Hosp, Dept Nephrol, Al Ain, U Arab Emirates

来源：

INTERNATIONAL UROLOGY AND NEPHROLOGY | 2011年 / 43卷 / 01期

关键词：

Kidney; Acute kidney injury; Non-Hodgkin lymphoma; MALIGNANT-LYMPHOMA; FAILURE; INFILTRATION; DIAGNOSIS;

D O I：

10.1007/s11255-010-9728-5

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Renal involvement in large B-cell lymphoma represents an exceptional manifestation of non-Hodgkin lymphomas. Acute kidney injury (AKI) by lymphomatous infiltration is extremely rare and so far only 19 cases have been reported in the literature. We report a 67-year-old woman who presented with AKI and was found to have large B-cell lymphoma infiltrating her kidneys. The patient was treated with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) with rituximab, and a dramatic improvement of renal function was noticed after two weeks of treatment. Her renal function completely recovered after four weeks of treatment. In conclusion, lymphomatous infiltration of kidneys can directly lead to AKI. Rapid diagnosis and treatment is essential to preserve the renal function. Renal biopsy is the gold standard for the early diagnosis of non-Hodgkin lymphoma as a cause of AKI.

引用

页码：237 / 240

页数：4

共 16 条

[1] PRIMARY BILATERAL B-CELL RENAL LYMPHOMA - A CASE-REPORT AND REVIEW OF THE LITERATURE [J].

BROULAND, JP ;

MEEUS, F ;

ROSSERT, J ;

HERNIGOU, A ;

GENTRIC, D ;

JACQUOT, C ;

DIEBOLD, J ;

NOCHY, D .

AMERICAN JOURNAL OF KIDNEY DISEASES, 1994, 24 (04) :586-589

[2] Monoclonal antibody as therapy for malignant lymphomas [J].

Coiffier, B .

COMPTES RENDUS BIOLOGIES, 2006, 329 (04) :241-254

[3] Acute tubulo-interstitial nephritis associated with mantle cell lymphoma presented as acute renal failure [J].

Colak, Nujen ;

Dede, Fatih ;

Canbakan, Basol ;

Odabas, Ali Riza ;

Akyuerek, Nalan .

NEPHROLOGY, 2007, 12 (01) :107-108

[4] Pulmonary MALT lymphoma revealing AIDS [J].

Cortot, A. B. ;

Cottin, V. ;

Issartel, B. ;

Meyronet, D. ;

Coiffier, B. ;

Cordier, J. -F. .

REVUE DES MALADIES RESPIRATOIRES, 2006, 23 (04) :353-357

[5] Acute renal failure due to a primary renal B-cell lymphoma [J].

Diskin, Charles J. ;

Stokes, Thomas J. ;

Dansby, Linda M. ;

Radcliff, Lautrec ;

Carter, Thomas B. ;

Graves, Edith ;

Byron, Deborah ;

Cook, William J. .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2007, 50 (05) :885-889

[6] Primary renal non-Hodgkin's lymphoma - a difficult differential diagnosis [J].

Gellrich, J ;

Hakenberg, OW ;

Naumann, B ;

Manseck, A ;

Lossnitzer, A ;

Wirth, MP .

ONKOLOGIE, 2002, 25 (03) :273-277

[7] Indolent behaviour of low-grade B cell lymphoma of mucosa-associated lymphoid tissue arising in the kidney [J].

Jindal, B ;

Sharma, SC ;

Das, A ;

Banerjee, AK .

UROLOGIA INTERNATIONALIS, 2001, 67 (01) :91-93

[8]

Lommatzsch Steven E, 2006, Ann Diagn Pathol, V10, P230, DOI 10.1016/j.anndiagpath.2005.09.015

[9] Autopsy diagnosis of endemic Burkitt lymphoma as the primary etiology of acute renal failure in children [J].

Olowu, WA ;

Adelusola, KA ;

Badmos, KB ;

Aina, OJA .

PEDIATRIC HEMATOLOGY AND ONCOLOGY, 2005, 22 (04) :315-321

[10] Primary renal lymphoma [J].

Omer, Hyder A. ;

Hussein, Mahmoud R. .

NEPHROLOGY, 2007, 12 (03) :314-315

← 1 2 →