Low-grade T-cell lymphoma of the kidney and Waldenström's macroglobulinemia in a patient presenting with renal failure.
Renal failure is rarely the presenting manifestation of non-Hodgkin's lymphoma. We describe the unusual case of a patient who presented with uremia due to lymphomatous infiltration of the kidney by a low-grade T-cell lymphoma. The diagnosis of lymphoma was made by renal biopsy. Extrarenal nodular or extra-nodular involvement could not be detected. However, simultaneously, a lymphoplasmacytic lymphoma was found on bone marrow biopsy associated with IgM paraproteinemia. To our knowledge, this is the first report of a renal T-cell lymphoma associated with Waldenström's macroglobulinemia.
Janssen
U
U
Department of Cardiology, Nephrology and Intensive Care Medicine, Krankenhaus St. Franziskus, Kliniken Maria Hilf, Möchengladbach, Germany. JanssenU@mariahilf.de
Amann
K
K
Reumel
J
J
Boehm
J
J
Verbeek
W
W
D000368:Aged; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology / Q000648:ultrastructure; D006801:Humans; D007668:Kidney / Q000473:pathology / Q000648:ultrastructure; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis*; D016399:Lymphoma, T-Cell / Q000150:complications / Q000175:diagnosis*; D008297:Male; D051437:Renal Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D012709:Serum Albumin / Q000032:analysis; D014463:Ultrasonography; D008258:Waldenstrom Macroglobulinemia / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005719:gamma-Globulins / Q000032:analysis
D012709:Serum Albumin; D005719:gamma-Globulins