Jaing Tang-Her, Hung Iou-Jih, Lin Chi-Jen, Chiu Cheng-Hsun, Luo Chih-Cheng, Wang Chao-Jan
Division of Hematology/Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Jpn J Clin Oncol. 2002 Sep;32(9):365-7. doi: 10.1093/jjco/hyf077.
An 11-year-old girl who presented with hyperleukocytosis accompanied by significant increases in serum uric acid and lactate dehydrogenase levels was discovered to be suffering from acute myeloid leukemia (AML). Subsequently a staghorn calculus was identified 22 months after the start of chemotherapy. The diagnosis of staghorn calculi was suggested by plain abdominal X-ray and ultrasonography. This paper describes the course of an adolescent patient with AML and focuses specifically upon her urological complications. To the best of our knowledge, this is the first reported pediatric case of AML complicated with staghorn calculi, which developed following repeated episodes of septicemia.
一名11岁女孩出现白细胞增多症，同时血清尿酸和乳酸脱氢酶水平显著升高，被诊断为急性髓系白血病（AML）。随后，在化疗开始22个月后发现了鹿角形结石。腹部平片和超声检查提示鹿角形结石的诊断。本文描述了一名青少年AML患者的病程，并特别关注其泌尿系统并发症。据我们所知，这是首例报道的AML合并鹿角形结石的儿科病例，该结石是在反复发生败血症后形成的。
