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KERD
논문KCI 등재

양측 신장비대로 진단된 급성림프구성 백혈병 1례

Bilateral Nephromegaly as a Presenting Symptom of Acute Lymphoblastic Leukemia

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키워드

주제분류소아과학

초록

소아에서 혈액암의 경우 간비종대 없이 신장 비대만을 보이는 경우는 매우 드물다. 저자들은 한 달간 급속히 진행하는 복부 팽만을 주소로 병원에 온 9개월 된 남아에서, 간비종대가 없이 양측 거대신 소견만을 보이는 급성 림프구성 백혈병을 경험하였기에 그 임상상을 보고하는 바이다.

Abstract

Bilateral renal enlargement is a very rare manifestation as the primary presenting feature of acute lymphoblastic leukemia. We are reporting an unusual clinical picture of a 9-month-old male patient diagnosed as precusor B-cell lymphoblastic leukemia, who showed bilateral nephromegaly without any hepatosplenomegaly at the time of initial presentation.

참고문헌 (12)

  1. Rudramurthy P, "Bilateral nephromegaly simulating Wilms tumor : A rare initial manifestation of acute lymphoblastic leukemia", J Pediatr Hematol Oncol, 30, pp.471~473 (2008)
  2. Frei E, "Renal and hepatic enlargement in acute leukemia", Cancer, 16, pp.1089~1092 (1963)
  3. Hann IM, "Renal size as a prognostic factor in childhood acute lymphoblastic leukemia", Cancer, 48, pp.207~209 (1981)
  4. Hilmes MA, "Pediatric renal leukemia : spectrum of CT imaging findings", Pediatr Radiol, 38, pp.424~430 (2008)
  5. Escobar H, "Acute renal failure associated with bilateral enlargement of the kidney: a rare manifestation of acute lymphoblastic leukemia (ALL)", Klin Padiatr, 221, pp.176~178 (2009)
  6. Boueva A, "Precursor B-cell lymphoblastic leukemia as a cause of a bilateral nephromegaly", Pediatr Nephrol, 20, pp.679~682 (2005)
  7. Randolph VL, "Renal failure due to lymphomatous infiltration of the kidneys", Cancer, 52, pp.1120~1121 (1983)
  8. Obrador GT, "Acute renal failure due to lymphomatous infiltration of the kidneys", J Am Soc Nephrol, 8, pp.1348~1354 (1997)
  9. Glicklich D, "Renal failure due to lymphomatous infiltration of the kidneys", Cancer, 58, pp.748~753 (1986)
  10. Frei E 3rd, "Renal and hepatic enlargement in acute leukemia", Cancer, 16, pp.1089~1092 (1983)
  11. Rubissow NJ, "Proximal tubular hypertrophy in a case of acute leukemia of childhood", Am J Clin Path, 53, pp.843~851 (1970)
  12. Martins A, "Nephromegaly : unusual presentation of acute lymphoblastic leukemia in an infant", Arch Argent Pediatr, 106, pp.263~265 (2008)

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