Motoyama Osamu, Kojima Yasuko, Ohara Akira, Tsukimoto Ichirou, Ishikawa Yukio, Iitaka Kikuo
Department of Pediatrics, Toho University Medical Center, Sakura Hospital, 564-1 Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Department of Pediatrics, Toho University Medical Center, Omori Hospital, Tokyo, Japan.
Clin Exp Nephrol. 2008 Apr;12(2):140-143. doi: 10.1007/s10157-007-0009-2. Epub 2008 Jan 5.
IgA nephropathy (IgAN) associated with leukemia and lymphoma has not, to our knowledge, been reported in children. Two children suffering from these diseases are described here. One patient developed IgAN at the end of 5 years' chemotherapy for acute lymphocytic leukemia. The other had microscopic hematuria 3 years before the onset of non-Hodgkin lymphoma, and hematuria continued during chemotherapy. Each disease occurred after a long interval, and the clinical courses did not run parallel. The association was thought to be incidental in our cases. Chemotherapy with adrenocorticosteroids and immunosuppressants [6-mercaptopurine (6-MP) and cyclophosphamide (CY)] for leukemia and lymphoma did not affect the clinical course of IgAN.