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Pediatric Nephrology
Published in: Pediatric Nephrology 3/2018

01-03-2018 | Clinical Quiz

Abdominal pain in a 5-year-old girl with bilateral nephromegaly: Answers

Authors: Hulya Nalcacioglu, Sibel Yel, Meriban Karadogan, Fatma Turkan Mutlu, Funda Bastug, Yasemin Altuner Torun

Published in: Pediatric Nephrology | Issue 3/2018

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Abstract

Renal involvement in non-Hodgkin lymphoma is a recognized development, but it mostly follows a diagnosis of lymphoma. We describe a rare case of a T-cell-type non-Hodgkin lymphoma that first presents as nephromegaly in a 5-year-old girl admitted to the emergency department with abdominal pain. Further investigation revealed bilateral nephromegaly, but the results of blood tests, imaging studies, and bone marrow aspiration were inconclusive. During the second week of hospitalization, significant physical examination revealed an enlarged lymph node in the anterior cervical chains, confirming a diagnosis of Non-Hodgkin’s lymphoma. This case illustrates that it is important to have a high degree of suspicion in any patient presenting with unexplained enlarged kidneys without any identifiable cause because it could be the first presentation of a hematologic malignancy.
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Metadata
Title
Abdominal pain in a 5-year-old girl with bilateral nephromegaly: Answers
Authors
Hulya Nalcacioglu
Sibel Yel
Meriban Karadogan
Fatma Turkan Mutlu
Funda Bastug
Yasemin Altuner Torun
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 3/2018
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-017-3696-2

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