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套细胞淋巴瘤病例中淋巴瘤性间质性肾炎与副肿瘤性新月体性膜增生性肾小球肾炎并存

Lymphomatous Interstitial Nephritis Coexistent with Paraneoplastic Crescentic Membranoproliferative Glomerulonephritis in a Case of Mantle Cell Lymphoma.

作者信息

Etta Praveen Kumar, Rao M V, Reddy Sujeet, Gowrishankar Swarnalata, Agarwal Neha

机构信息

Department of Nephrology and Renal Transplantation, Virinchi Hospitals, Hyderabad, Telangana, India.

Department of Nephrology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India.

出版信息

Indian J Nephrol. 2020 May-Jun;30(3):192-195. doi: 10.4103/ijn.IJN_160_19. Epub 2020 Feb 11.

DOI:10.4103/ijn.IJN_160_19
PMID:33013070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7470200/
Abstract

Mantle cell lymphoma (MCL) is a rare aggressive lymphoproliferative disorders (LPD) of B-cell lymphoma, which usually presents in advanced stages at initial diagnosis. Renal involvement in MCL is very rare, especially the combined presence of both glomerular and interstitial disease. We report on a patient with lymphomatous interstitial nephritis (LIN) coexistent with paraneoplastic crescentic membranoproliferative glomerulonephritis (MPGN), subsequently diagnosed to have disseminated MCL with bone marrow and lymph nodal infiltration. He was treated with rituximab-based chemotherapy and went into complete renal remission at 6-months of follow up.

摘要

套细胞淋巴瘤(MCL)是一种罕见的侵袭性B细胞淋巴瘤淋巴增殖性疾病(LPD),初诊时通常处于晚期。MCL累及肾脏非常罕见,尤其是肾小球和间质疾病同时存在的情况。我们报告了一例患有淋巴瘤性间质性肾炎(LIN)并伴有副肿瘤性新月体性膜增生性肾小球肾炎(MPGN)的患者,随后诊断为伴有骨髓和淋巴结浸润的播散性MCL。他接受了以利妥昔单抗为基础的化疗,随访6个月时肾脏完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/d564a7c41af2/IJN-30-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/f768c4869f99/IJN-30-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/29f59fcce8e0/IJN-30-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/d564a7c41af2/IJN-30-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/f768c4869f99/IJN-30-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/29f59fcce8e0/IJN-30-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb4/7470200/d564a7c41af2/IJN-30-192-g003.jpg

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本文引用的文献

1
Antineutrophil cytoplasmic antibody-positive pauci-immune glomerulonephritis associated with mantle cell lymphoma.与套细胞淋巴瘤相关的抗中性粒细胞胞浆抗体阳性少免疫性肾小球肾炎
Clin Nephrol Case Stud. 2017 Feb 3;5:9-15. doi: 10.5414/CNCS109036. eCollection 2017.
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Mantle cell lymphoma first presenting as immune complex-mediated glomerulonephritis: a case report.首例表现为免疫复合物介导的肾小球肾炎的套细胞淋巴瘤:病例报告
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Acute renal failure in a patient with mantle cell lymphoma.
一例套细胞淋巴瘤患者的急性肾衰竭
Hemodial Int. 2015 Jul;19(3):E12-5. doi: 10.1111/hdi.12229. Epub 2014 Oct 7.
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Minimal change disease associated with newly diagnosed mantle cell lymphoma.与新诊断的套细胞淋巴瘤相关的微小变化疾病。
Ren Fail. 2014 May;36(4):634-7. doi: 10.3109/0886022X.2014.883905. Epub 2014 Feb 6.
5
Association of membranoproliferative glomerulonephritis with mantle cell lymphoma.膜增生性肾小球肾炎与套细胞淋巴瘤的关联。
BMJ Case Rep. 2013 Oct 7;2013:bcr2013009730. doi: 10.1136/bcr-2013-009730.
6
Membranoproliferative glomerulonephritis, mantle cell lymphoma infiltration, and acute kidney injury.膜增生性肾小球肾炎、套细胞淋巴瘤浸润和急性肾损伤。
Int Urol Nephrol. 2013 Oct;45(5):1489-94. doi: 10.1007/s11255-012-0210-4. Epub 2012 Jul 1.
7
Renal involvement of mantle cell lymphona leading to end stage renal disease.套细胞淋巴瘤的肾脏受累导致终末期肾病。
Hemodial Int. 2012 Jan;16(1):104-8. doi: 10.1111/j.1542-4758.2011.00612.x.
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The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications.2008 年世界卫生组织淋巴造血组织肿瘤分类及以后:不断发展的概念和实际应用。
Blood. 2011 May 12;117(19):5019-32. doi: 10.1182/blood-2011-01-293050. Epub 2011 Feb 7.
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Acute renal failure due to mantle cell lymphoma--a case report and discussion of the literature.套细胞淋巴瘤所致急性肾衰竭——一例报告及文献讨论
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