Skip to main content
Top
Published in: Pediatric Nephrology 10/2016

01-10-2016 | Clinical Quiz

Refractory arterial hypertension and renal failure combined with cerebral seizures and pancytopenia in a 5-year-old girl with bilateral nephromegaly: Answers

Authors: Patrick Hundsdoerfer, Uwe Querfeld

Published in: Pediatric Nephrology | Issue 10/2016

Login to get access

Excerpt

1.
No. Impairment of the bone marrow function is untypical for nephroblastomatosis.
 
2.
Lymphoblastic lymphoma/acute lymphoblastic leukemia.
 
3.
Fine needle biopsy of the kidney and bone marrow puncture.
 
4.
Glucocorticoids followed by multi-drug chemotherapy.
 
Literature
1.
go back to reference Lin CC, Tsai JD, Lin SP, Lee HC (2005) Renal sonographic findings of type I glycogen storage disease in infancy and early childhood. Pediatr Radiol 35:786–791CrossRefPubMed Lin CC, Tsai JD, Lin SP, Lee HC (2005) Renal sonographic findings of type I glycogen storage disease in infancy and early childhood. Pediatr Radiol 35:786–791CrossRefPubMed
2.
go back to reference Alessandri JL, Cuillier F, Ramful D, Ernould S, Robin S, de Napoli-Cocci S, Riviere JP, Rossignol S (2008) Perlman syndrome: report, prenatal findings and review. Am J Med Genet A 146A:2532–2537CrossRefPubMed Alessandri JL, Cuillier F, Ramful D, Ernould S, Robin S, de Napoli-Cocci S, Riviere JP, Rossignol S (2008) Perlman syndrome: report, prenatal findings and review. Am J Med Genet A 146A:2532–2537CrossRefPubMed
3.
go back to reference Owens CM, Brisse HJ, Olsen OE, Begent J, Smets AM (2008) Bilateral disease and new trends in Wilms tumour. Pediatr Radiol 38:30–39CrossRefPubMed Owens CM, Brisse HJ, Olsen OE, Begent J, Smets AM (2008) Bilateral disease and new trends in Wilms tumour. Pediatr Radiol 38:30–39CrossRefPubMed
4.
go back to reference Mussa A, Peruzzi L, Chiesa N, De Crescenzo A, Russo S, Melis D, Tarani L, Baldassarre G, Larizza L, Riccio A, Silengo M, Ferrero GB (2012) Nephrological findings and genotype-phenotype correlation in Beckwith-Wiedemann syndrome. Pediatr Nephrol 27:397–406CrossRefPubMed Mussa A, Peruzzi L, Chiesa N, De Crescenzo A, Russo S, Melis D, Tarani L, Baldassarre G, Larizza L, Riccio A, Silengo M, Ferrero GB (2012) Nephrological findings and genotype-phenotype correlation in Beckwith-Wiedemann syndrome. Pediatr Nephrol 27:397–406CrossRefPubMed
5.
go back to reference Goldman M, Smith A, Shuman C, Caluseriu O, Wei C, Steele L, Ray P, Sadowski P, Squire J, Weksberg R, Rosenblum ND (2002) Renal abnormalities in Beckwith-Wiedemann syndrome are associated with 11p15.5 uniparental disomy. J Am Soc Nephrol 13:2077–2084CrossRefPubMed Goldman M, Smith A, Shuman C, Caluseriu O, Wei C, Steele L, Ray P, Sadowski P, Squire J, Weksberg R, Rosenblum ND (2002) Renal abnormalities in Beckwith-Wiedemann syndrome are associated with 11p15.5 uniparental disomy. J Am Soc Nephrol 13:2077–2084CrossRefPubMed
6.
go back to reference Reiter A, Schrappe M, Ludwig WD, Tiemann M, Parwaresch R, Zimmermann M, Schirg E, Henze G, Schellong G, Gadner H, Riehm H (2000) Intensive ALL-type therapy without local radiotherapy provides a 90% event-free survival for children with T-cell lymphoblastic lymphoma: a BFM group report. Blood 95:416–421PubMed Reiter A, Schrappe M, Ludwig WD, Tiemann M, Parwaresch R, Zimmermann M, Schirg E, Henze G, Schellong G, Gadner H, Riehm H (2000) Intensive ALL-type therapy without local radiotherapy provides a 90% event-free survival for children with T-cell lymphoblastic lymphoma: a BFM group report. Blood 95:416–421PubMed
7.
go back to reference Malbrain ML, Lambrecht GL, Daelemans R, Lins RL, Hermans P, Zachee P (1994) Acute renal failure due to bilateral lymphomatous infiltrates. Primary extranodal non-Hodgkin's lymphoma (p-EN-NHL) of the kidneys: does it really exist? Clin Nephrol 42:163–169PubMed Malbrain ML, Lambrecht GL, Daelemans R, Lins RL, Hermans P, Zachee P (1994) Acute renal failure due to bilateral lymphomatous infiltrates. Primary extranodal non-Hodgkin's lymphoma (p-EN-NHL) of the kidneys: does it really exist? Clin Nephrol 42:163–169PubMed
8.
go back to reference Tornroth T, Heiro M, Marcussen N, Franssila K (2003) Lymphomas diagnosed by percutaneous kidney biopsy. Am J Kidney Dis 42:960–971CrossRefPubMed Tornroth T, Heiro M, Marcussen N, Franssila K (2003) Lymphomas diagnosed by percutaneous kidney biopsy. Am J Kidney Dis 42:960–971CrossRefPubMed
9.
go back to reference Dobkin SF, Brem AS, Caldamone AA (1991) Primary renal lymphoma. J Urol 146:1588–1590PubMed Dobkin SF, Brem AS, Caldamone AA (1991) Primary renal lymphoma. J Urol 146:1588–1590PubMed
10.
go back to reference Neglia JP, Day DL, Swanson TV, Ramsay NK, Robison LL, Nesbit ME Jr (1988) Kidney size at diagnosis of childhood acute lymphocytic leukemia: lack of prognostic significance for outcome. Am J Pediatr Hematol Oncol 10:296–300CrossRefPubMed Neglia JP, Day DL, Swanson TV, Ramsay NK, Robison LL, Nesbit ME Jr (1988) Kidney size at diagnosis of childhood acute lymphocytic leukemia: lack of prognostic significance for outcome. Am J Pediatr Hematol Oncol 10:296–300CrossRefPubMed
11.
go back to reference Attard-Montalto SP, Saha V, Ng YY, Kingston JE, Eden OB (1994) High incidence of hypertension in children presenting with acute lymphoblastic leukemia. Pediatr Hematol Oncol 11:519–525CrossRefPubMed Attard-Montalto SP, Saha V, Ng YY, Kingston JE, Eden OB (1994) High incidence of hypertension in children presenting with acute lymphoblastic leukemia. Pediatr Hematol Oncol 11:519–525CrossRefPubMed
12.
go back to reference Olgar S, Yetgin S, Cetin M, Aras T (2006) Can renal leukemic infiltration cause hypertension in children? J Pediatr Hematol Oncol 28:579–584CrossRefPubMed Olgar S, Yetgin S, Cetin M, Aras T (2006) Can renal leukemic infiltration cause hypertension in children? J Pediatr Hematol Oncol 28:579–584CrossRefPubMed
Metadata
Title
Refractory arterial hypertension and renal failure combined with cerebral seizures and pancytopenia in a 5-year-old girl with bilateral nephromegaly: Answers
Authors
Patrick Hundsdoerfer
Uwe Querfeld
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2016
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-015-3183-6

Other articles of this Issue 10/2016

Pediatric Nephrology 10/2016 Go to the issue