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Leukemia & Lymphoma Volume 45, 2004 - Issue 4
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Original Article

Acute Renal Failure Due to Leukemic Cell Infiltration Followed by Relapse at Multiple Extramedullary Sites in a Child with Acute Lymphoblastic Leukemia

Atsushi Sato Department of Pediatrics, Tohoku University School of Medicine, Sendai, JapanCorrespondence[email protected]
,
Masue Imaizumi Department of Pediatric Hematology and Oncology, Tohoku University School of Medicine, Sendai, Japan
,
Shuji Chikaoka Department of Pathology, Tohoku University School of Medicine, Sendai, Japan
,
Hidetaka Niizuma Department of Pathology, Iwate Medical University School of Medicine, Morioka, Japan
,
Yoshiyuki Hoshi Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
,
Junji Takeyama Department of Pediatric Hematology and Oncology, Tohoku University School of Medicine, Sendai, Japan
,
Kunihiro Fujii Department of Pathology, Tohoku University School of Medicine, Sendai, Japan
,
Toshiyuki Nishio Department of Pathology, Iwate Medical University School of Medicine, Morioka, Japan
,
Mika Watanabe Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
,
Chihaya Maesawa Department of Pediatric Hematology and Oncology, Tohoku University School of Medicine, Sendai, Japan
,
Yutaka Hayashi Department of Pathology, Tohoku University School of Medicine, Sendai, Japan
&
Kazuie Iinuma Department of Pathology, Iwate Medical University School of Medicine, Morioka, Japan
 show all
Pages 825-828 | Received 03 Jun 2003, Published online: 03 Aug 2009
 
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Abstract

Acute renal failure due to leukemic infiltration into the kidney is rare in childhood acute lymphoblastic leukemia (ALL). We report here a five year-old boy with ALL who presented acute renal failure caused by leukemic infiltration at onset. Treatment with predonisolone and hemodialysis was effective. However, he showed persistent or repeated relapses at extramedullary sites, such as central nervous system, testis, and pancreas, suggesting that leukemic cells of this patient may have had a high affinity to extramedullary organs. On the basis of previous reports and the experience of this patient, intensive treatment may be needed in ALL children with renal involvement.

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