Simsek S, Oen A L, Comans E F I, v d Hoeven J J M, Zijlstra J
Department of Internal Medicine, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands.
Clin Nephrol. 2003 May;59(5):383-7.
Acute renal failure (ARF) as a consequence of non-Hodgkin lymphoma infiltration of the kidneys (LIK) is an uncommon complication of non-Hodgkin lymphoma. In literature, ARF due to LIK is reported in progressive disease. A case of non-oliguric acute renal failure secondary to relapse of large B cell non-Hodgkin lymphoma primarily localized in the mediastinum is reported. LIK of both kidneys was diagnosed by ultrasonography, computer tomography scan and 18-fluorodeoxyglucose positron emission tomography. No other causes for renal failure were found. The prognosis of renal involvement in relapsed non-Hodgkin lymphoma is poor, as is demonstrated by our case.
非霍奇金淋巴瘤肾脏浸润（LIK）导致的急性肾衰竭（ARF）是非霍奇金淋巴瘤一种罕见的并发症。在文献中，LIK所致的ARF见于进展期疾病。本文报告1例主要位于纵隔的大B细胞非霍奇金淋巴瘤复发继发非少尿型急性肾衰竭的病例。通过超声、计算机断层扫描及18氟脱氧葡萄糖正电子发射断层扫描诊断为双肾LIK。未发现肾衰竭的其他病因。正如我们的病例所示，复发的非霍奇金淋巴瘤肾脏受累预后较差。
