Disseminated lymphoma presenting as acute thigh pain and renal failure.
A 66-year-old diabetic man presented with severe right thigh swelling and pain together with acute renal failure. At autopsy, this was found to be due to disseminated high grade B cell lymphoma invading the psoas muscle and multiple organs, including the kidneys. The unique presentation of this case emphasizes the need for increased awareness of the variety of ways in which lymphoma can manifest itself.
Brown
Catherine
C
Department of Nephrology, Beaumont Hospital, Dublin, Ireland. catherinebrownis@gmail.com
Walshe
J Joseph
JJ
D000208:Acute Disease; D000368:Aged; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology; D004890:Erythema / Q000209:etiology; D006338:Heart Neoplasms / Q000175:diagnosis; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D035002:Lower Extremity; D016393:Lymphoma, B-Cell / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D019042:Muscle Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D010146:Pain / Q000209:etiology*; D016658:Psoas Muscles / Q000473:pathology; D051437:Renal Insufficiency / Q000209:etiology*