Martins Andrea, Cairoli Héctor, Domínguez Paula, Martin Sandra, Ortiz Corina, Potasznik Javier, Schenone Norma
Hospital de Niños Dr. Pedro de Elizalde.
Arch Argent Pediatr. 2008 Jun;106(3):263-5. doi: 10.1590/S0325-00752008000300013.
Nephromegaly in infancy may be due to several causes, being the most relevant: renal polycystic autosomic recessive disease, venous renal thrombosis, deposit diseases, kidney tumors, nephrotic congenital syndrome and neoplastic infiltration. Although renal infiltration is relatively frequent in acute lymphoblastic leukemia, nephromegaly is an unusual form of presentation in this pathology. The case of a four-year-old patient, who presents bilateral nephromegaly and pancytopenia, is presented. Acute Lymphoblastic Leukemia is diagnosed, initiating the corresponding chemotherapic treatment.
婴儿期肾肿大可能由多种原因引起，其中最相关的有：常染色体隐性遗传性多囊肾病、肾静脉血栓形成、沉积性疾病、肾肿瘤、先天性肾病综合征和肿瘤浸润。虽然肾浸润在急性淋巴细胞白血病中相对常见，但肾肿大在这种病理情况下是一种不常见的表现形式。本文介绍了一名4岁患者的病例，该患者出现双侧肾肿大和全血细胞减少。诊断为急性淋巴细胞白血病，并开始相应的化疗。
