Steroid-sensitive anemia in a boy on dialysis--an association with Kimura disease.
The cause of hypereosinophilia (EO) in hemodialysis (HD) patients is multifactorial and is felt to be a benign laboratory abnormality related to dialysis or uremia. Kimura disease (KD) is an angiolymphoid proliferative disorder of unknown etiology. Many cases are associated with nephrotic syndrome in children; however, it has seldom been reported in children on dialysis. We report here a 13-year-old boy who developed persistent EO and subsequent anemia after maintenance HD; he later developed KD. The atypical clinical manifestation of KD and its relationship to HD and erythropoietin hyposensitive anemia in this patient are discussed.
Hung
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Department of Nephrology, Chang Gung Memorial Hospital, 5, Fu Hsing Street, Kuei-Shan Hsian, Taoyuan, Taiwan. a9651@ms4.hinet.net
Liao
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PL
Chang
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CT
Wu
M S
MS
Huang
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CC
D000293:Adolescent; D000740:Anemia / Q000188:drug therapy* / Q000209:etiology; D000796:Angiolymphoid Hyperplasia with Eosinophilia / Q000209:etiology* / Q000473:pathology; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002675:Child, Preschool; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D006435:Renal Dialysis / Q000009:adverse effects*; D013256:Steroids / Q000627:therapeutic use*
D000893:Anti-Inflammatory Agents; D013256:Steroids; D011239:Prednisolone