Butani Lavjay, Ducore Jonathan
Section of Pediatric Nephrology, Department of Pediatrics, University of California Davis Medical Center, Sacramento, CA, USA.
Section of Pediatric Hematology and Oncology, Department of Pediatrics, University of California Davis Medical Center, Sacramento, CA, USA.
Case Rep Med. 2017;2017:9210648. doi: 10.1155/2017/9210648. Epub 2017 Oct 2.
Primary renal lymphoma is a rare entity, even more so in children. Children with primary renal lymphoma present with variable clinical features such as constitutional signs and symptoms, acute kidney injury, palpable abdominal masses, and gross hematuria. Herein we report a child who presented with seemingly advanced chronic kidney disease and was eventually diagnosed with primary lymphoma. He responded well to intensive chemotherapy and recovered renal function, although he was left with some functional limitations as a consequence of his treatment regimen. Our report highlights the importance of keeping neoplastic conditions under consideration when taking care of children with severe kidney disease of unclear etiology.
原发性肾淋巴瘤是一种罕见的疾病，在儿童中更为罕见。原发性肾淋巴瘤患儿表现出多种临床特征，如全身症状和体征、急性肾损伤、可触及的腹部肿块和肉眼血尿。在此，我们报告一名患儿，其最初表现为看似晚期的慢性肾病，最终被诊断为原发性淋巴瘤。他对强化化疗反应良好，肾功能得以恢复，尽管由于治疗方案，他仍有一些功能限制。我们的报告强调了在照顾病因不明的重症肾病患儿时，考虑肿瘤性疾病的重要性。
