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10.1371/journal.pone.0119156

http://scihub22266oqcxt.onion/10.1371/journal.pone.0119156
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suck abstract from ncbi


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pmid25811382
      PLoS+One 2015 ; 10 (3 ): e0119156
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  • The spectrum of kidney pathology in B-cell chronic lymphocytic leukemia / small lymphocytic lymphoma: a 25-year multicenter experience #MMPMID25811382
  • Poitou-Verkinder AL ; Francois A ; Drieux F ; Lepretre S ; Legallicier B ; Moulin B ; Godin M ; Guerrot D
  • PLoS One 2015[]; 10 (3 ): e0119156 PMID25811382 show ga
  • BACKGROUND: Chronic lymphocytic leukemia and small lymphocytic lymphoma are 2 different presentations of the most common B-cell neoplasm in western countries (CLL/SLL). In this disease, kidney involvement is usually silent, and is rarely reported in the literature. This study provides a clinicopathological analysis of all-cause kidney disease in CLL/SLL patients. METHODS: Fifteen CLL/SLL patients with kidney biopsy were identified retrospectively. Demographic, clinical, pathological and laboratory data were assessed at biopsy, and during follow-up. RESULTS: At biopsy 11 patients presented impaired renal function, 7 patients nephrotic syndrome, 6 patients dysproteinemia, and 3 patients cryoglobulinemia. Kidney pathology revealed CLL/SLL-specific monoclonal infiltrate in 10 biopsies, glomerulopathy in 9 biopsies (5 membranoproliferative glomerulonephritis, 2 minimal change disease, 1 glomerulonephritis with organized microtubular monoclonal immunoglobulin deposits, 1 AHL amyloidosis). Five patients presented interstitial granulomas attributed to CLL/SLL. After treatment of the hematological disease, improvement of renal function was observed in 7/11 patients, and remission of nephrotic syndrome in 5/7 patients. During follow-up, aggravation of the kidney disease systematically occurred in the absence of favorable response to hematological treatment. CONCLUSIONS: A broad spectrum of kidney diseases is associated with CLL/SLL. In this setting, kidney biopsy can provide important information for diagnosis and therapeutic guidance.
  • |Aged [MESH]
  • |Antineoplastic Combined Chemotherapy Protocols/therapeutic use [MESH]
  • |Demography [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Glomerulonephritis/complications [MESH]
  • |Humans [MESH]
  • |Kidney/diagnostic imaging/metabolism/*pathology [MESH]
  • |Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy/metabolism/*pathology [MESH]
  • |Lymphocyte Count [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Nephrotic Syndrome/complications [MESH]
  • |Radiography [MESH]
  • |Recurrence [MESH]


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