[A rare cause of pruritus in an hemodialysed patient].
BACKGROUND
Uremic pruritus is frequent in patients undergoing hemodialysis. It's multifactorial secondary in most cases to metabolic complications related to uremia.


OBJECTIVE
We report a rare cause of pruritus in an haemodialysed patient.


METHODS
It's a 48-year-old woman in periodic haemodialysis during 17 years. She suffered from generalized pruritus associated with psychiatric disturbance without neurologic deficits. CT scan and magnetic resonance imaging revealed extensive, diffuse and bilateral involvement of the white matter. The diagnosis of large low grade B cell lymphoma was confirmed by the histologic examination of stereotactic biopsy which leads to early intracranial hemorrhage and death.


CONCLUSIONS
Before attributing pruritus to renal failure, one should exclude other causes such as the NHL even rarely reported especially when it associated with psychiatric disturbances. CT scan and magnetic resonance imaging contribute to diagnosis.
Service de Néphrologie, Hôpital la Rabta, Tunis, Tunisie.
Soumaya
S
Beji
Lilia
L
Ben Fatma
Lamia
L
Rais
Karim
K
Zouaghi
Mediha
M
Krid
Wided
W
Smaoui
H
H
Ben Maiz
Fatma
F
Ben Moussa
D001921:Brain / Q000473:pathology; D005260:Female; D006406:Hematoma / Q000473:pathology; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000175:diagnosis*; D011537:Pruritus / Q000209:etiology*; D006435:Renal Dialysis