NDT Advance Access originally published online on June 28, 2005
Nephrology Dialysis Transplantation 2005 20(9):1991-1993; doi:10.1093/ndt/gfh953
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Case Report
Massive post-obstructive diuresis in a patient with Burkitt's lymphoma
1 Division of Hematology and 2 Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
Correspondence and offprint requests to: Dr Bahar Artim-Esen, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University. Fax: +90 212 631 86 99. Email: fatihbahar@superonline.com
Keywords: Burkitt lymphoma; obstruction; polyuria; renal failure
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| Introduction |
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Burkitt's lymphoma, which originates from B-cells, is commonly a disease of children, although it is also frequent amongst immunodeficient adults. It is the non-endemic form that affects adolescents and young adults, usually presenting with abdominal disease causing constipation, pain, nausea and vomiting [1]. This tumour, one of the very aggressive lymphomas, has the highest growth rate of all of them, and it responds well to chemotherapy.
Acute renal failure occurs frequently in Burkitt's lymphoma, and uric acid nephropathy is its most common cause.
We report here on a case of Burkitt's lymphoma with acute obstructive renal failure, the relief of which resulted in massive polyuria, reaching 90 l a day.
| Case |
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A 30-year-old man was admitted to our hospital because of abdominal pain, constipation, anuria, fatigue, loss of weight, excessive sweating and fever. Three weeks previously, an abdomino-pelvic computed tomography (CT) scan, which had been performed at the hospital
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