Nephrotic syndrome in a patient with intravascular lymphomatosis

被引：14

作者：

Kakumitsu, H ^{[1
]}

Higuchi, M ^{[1
]}

Tanaka, K ^{[1
]}

Shibuya, T ^{[1
]}

机构：

[1] Hamanomachi Gen Hosp, Dept Internal Med, Fukuoka, Japan

来源：

INTERNAL MEDICINE | 2003年 / 42卷 / 01期

关键词：

fever; edema; hemophagocytosis; nephrotic syndrome; intravascular lymphomatosis;

D O I：

10.2169/internalmedicine.42.98

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The association of malignancy with nephrotic syndrome and renal histopathologic abnormalities is well documented. We report a case of intravascular lymphomatosis (IVL) presenting as nephrotic syndrome which was diagnosed by renal biopsy. Histological examination of the renal biopsy specimens showed dissemination of neoplastic lymphoid cells throughout the glomerular capillary bed. These tumor cells were positive for CD20. Since the nephrotic syndrome improved with treatment of the lymphoma, intravascular lymphomatosis may well have played an important role in the pathogenesis of minimal change nephrotic syndrome in this patient.

引用

页码：98 / 101

页数：4