Das Rashmi Ranjan, Gajendra Smeeta, Bakshi Sameer, Seth Rachna, Kumar Rajive
Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India.
Department of Laboratory Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Oman Med J. 2013 Nov;28(6):e063. doi: 10.5001/omj.2013.132.
We report two cases that presented with unexplained acute renal failure and hyperuricemia and were subsequently diagnosed with T-cell acute lymphoblastic leukemia. The patients improved with conservative therapy without the need for dialysis. Case 1 is the youngest case of acute lymphoblastic leukemia with spontaneous tumor lysis syndrome reported to date, and Case 2 presented with spontaneous tumor lysis syndrome without hyperleukocytosis.
我们报告了两例表现为不明原因急性肾衰竭和高尿酸血症,随后被诊断为T细胞急性淋巴细胞白血病的病例。患者通过保守治疗病情改善,无需透析。病例1是迄今为止报道的最年轻的自发性肿瘤溶解综合征急性淋巴细胞白血病病例,病例2表现为无白细胞增多症的自发性肿瘤溶解综合征。