Immunoglobulin M 'Flare' after rituximab-associated acute tubular necrosis in Waldenstrom's macroglobulinemia

被引:6
|
作者
Izzedine, Hassane [1 ]
Bourry, Edward [1 ]
Amrouche, Lucile [1 ]
Brocheriou, Isabelle [2 ]
Uzunov, Madalina [3 ]
Capron, Frederique [2 ]
Leblond, Veronique [3 ]
Deray, Gilbert [1 ]
机构
[1] Univ Paris 06, Hop La Pitie Salpetriere, Dept Nephrol, AP HP, F-75013 Paris, France
[2] Hop La Pitie Salpetriere, Dept Pathol, Paris, France
[3] Hop La Pitie Salpetriere, Dept Clin Hematol, Paris, France
关键词
Waldenstrom macroglobulinemia; Acute kidney injury; Rituximab; CONSENSUS PANEL RECOMMENDATIONS; 2ND INTERNATIONAL WORKSHOP; ACUTE-RENAL-FAILURE; THERAPY; PATHOLOGY; IGM;
D O I
10.1007/s12185-008-0244-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Waldenstrom's macroglobulinemia (WM) is a low-grade lymphoplasmacytic lymphoma characterized by a circulating monoclonal IgM. Renal involvement in classical cases of WM is rare, and the pathological hallmark finding in the renal biopsy specimen is a thrombotic microangiopathy. We report the case of a 69-year-old man with the diagnosis of WM for 3 months before he presented with acute renal failure (ARF). A renal biopsy performed suggested the diagnosis of acute tubular necrosis. The diagnosis of ARF related to IgM flare after Rituximab therapy was made.
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页码:218 / 222
页数:5
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