Nephrology Division, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan.
Ren Fail. 2012;34(9):1173-6. doi: 10.3109/0886022X.2012.717488. Epub 2012 Sep 6.
A single nodular lesion can be observed in various pulmonary diseases, including cancer, tuberculosis, and fungal infection. Waldenström's macroglobulinemia (WM) usually occurs in older adults and involves the lymph nodes, bone marrow, and spleen. Respiratory tract involvement is very rare. We reported a case of WM-associated renal amyloidosis. The patient was admitted with the initial presentation as a single mass in the lung and progression to renal involvement.
单个结节性病变可见于多种肺部疾病,包括癌症、结核病和真菌感染。华氏巨球蛋白血症(WM)通常发生于老年人,累及淋巴结、骨髓和脾脏。呼吸道受累非常罕见。我们报告了一例 WM 相关肾淀粉样变性病例。该患者最初表现为肺部单个肿块,随后进展为肾受累。