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Severe Infiltration of the Kidneys With Ultrasonic Abnormalities in Acute Lymphoblastic Leukemia

Severe Infiltration of the Kidneys With Ultrasonic Abnormalities in Acute Lymphoblastic Leukemia Abstract • A 3-year-old boy with acute lymphoblastic leukemia had enlarged kidneys with impairment of renal function and hypertension as the presenting features of relapse. Ultrasound demonstrated multiple nodular areas of echolucency within enlarged kidneys that reverted to normal when the patient was in remission but then recurred during relapse. This noninvasive procedure may be useful in patients with acute lymphoblastic leukemia to determine the incidence and prognostic significance of renal involvement at the time of diagnosis, and to follow the course of those who have demonstrable changes. (Am J Dis Child 132:1204-1205, 1978) References 1. Lascari AD: Leukemia in Childhood . Springfield, Ill, Charles C Thomas Publisher, 1973, p 34. 2. Gilbert EF, Rice EC, Lechaux PA: Renal function in children with leukemia . Am J Dis Child 93:150-156, 1957.Crossref 3. Gowdey JF, Neuhauser EBD: The roentgen diagnosis of diffuse leukemic infiltration of the kidneys in children . Am J Roentgenol Radium Ther Nucl Med 60:13-21, 1948. 4. Koch K, Reiquam CW, Beatty EC Jr: Acute childhood leukemia: Unusual complications . Rocky Mt Med J 63:55-60, 1966. 5. Widagdo IW, Markum AH: Leukemic infiltration of the kidney . Pediatr Indonesia 14:159-162, 1974. 6. Walls WJ, Roberts FF, Templeton AW: B-scan diagnostic ultrasound in the pediatric patient . Am J Roentgenol Radium Ther Nucl Med 120:431-437, 1974.Crossref 7. Komp DM: Cytocentrifugation in the management of central nervous system leukemia . J Pediatr 81:992-994, 1972.Crossref 8. Stoffel TJ, Nesbit ME, Levitt SH: The role of radiotherapy in renal involvement in acute childhood leukemia . Radiology 117:687-694, 1975.Crossref 9. Lampkin BC, McWilliams NB, Mauer AM: Treatment of acute leukemia . Pediatr Clin North Am 19:1123-1140, 1972. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Severe Infiltration of the Kidneys With Ultrasonic Abnormalities in Acute Lymphoblastic Leukemia

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120370056012
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 3-year-old boy with acute lymphoblastic leukemia had enlarged kidneys with impairment of renal function and hypertension as the presenting features of relapse. Ultrasound demonstrated multiple nodular areas of echolucency within enlarged kidneys that reverted to normal when the patient was in remission but then recurred during relapse. This noninvasive procedure may be useful in patients with acute lymphoblastic leukemia to determine the incidence and prognostic significance of renal involvement at the time of diagnosis, and to follow the course of those who have demonstrable changes. (Am J Dis Child 132:1204-1205, 1978) References 1. Lascari AD: Leukemia in Childhood . Springfield, Ill, Charles C Thomas Publisher, 1973, p 34. 2. Gilbert EF, Rice EC, Lechaux PA: Renal function in children with leukemia . Am J Dis Child 93:150-156, 1957.Crossref 3. Gowdey JF, Neuhauser EBD: The roentgen diagnosis of diffuse leukemic infiltration of the kidneys in children . Am J Roentgenol Radium Ther Nucl Med 60:13-21, 1948. 4. Koch K, Reiquam CW, Beatty EC Jr: Acute childhood leukemia: Unusual complications . Rocky Mt Med J 63:55-60, 1966. 5. Widagdo IW, Markum AH: Leukemic infiltration of the kidney . Pediatr Indonesia 14:159-162, 1974. 6. Walls WJ, Roberts FF, Templeton AW: B-scan diagnostic ultrasound in the pediatric patient . Am J Roentgenol Radium Ther Nucl Med 120:431-437, 1974.Crossref 7. Komp DM: Cytocentrifugation in the management of central nervous system leukemia . J Pediatr 81:992-994, 1972.Crossref 8. Stoffel TJ, Nesbit ME, Levitt SH: The role of radiotherapy in renal involvement in acute childhood leukemia . Radiology 117:687-694, 1975.Crossref 9. Lampkin BC, McWilliams NB, Mauer AM: Treatment of acute leukemia . Pediatr Clin North Am 19:1123-1140, 1972.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1978

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