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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 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]