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만성 림프구성 백혈병 환자에서 병발한 신아밀로이드증 1예

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Author(s)
권진경장국진석 준박성배김현철박관규
Keimyung Author(s)
Park, Sung BaeKim, Hyun ChulPark, Kwan Kyu
Department
Dept. of Internal Medicine (내과학)
Dept. of Pathology (병리학)
Journal Title
대한신장학회지
Issued Date
1996
Volume
15
Issue
4
Abstract
The nephrotic syndrome is uncommon in patients with chronic lymphocytic leukemia. When present, the most frequently documented cause is membrano-proliferative glomerulonephritis, although several other glomerular lesions have also been described. This report describes a patient with renal amyloidosis associated with chronic lymphocytic leukemia.
A 70-year-old male patient was admitted to the hospital because of multiple lymph nodes enlargement, general weakness and generalized edema. Hematologic findings showed marked leukocytosis (39,500/mm3 with 79% mature lymphocytes). Laboratory findings included a serum creatinine level of 2.0mg/dL, urinary protein excretion of 9.1g/day, and free monoclonal IgG, A chain in serum and urine. A diagnosis of CLL was made on the basis of hyperlymphocytosis and typical bone marrow findings by aspiration and biopsy. Percutaneous renal biopsy revealed amyloid deposits in glomeruli, vessel walls, interstitium. He was died of sepsis and myocardial infarction at 3 weeks after diagnosis.
Alternative Title
A Case of Renal Amyloidosis Associated With Chronic Lymphocytic Leukemia
Keimyung Author(s)(Kor)
박성배
김현철
박관규
Publisher
School of Medicine
Citation
권진경 et al. (1996). 만성 림프구성 백혈병 환자에서 병발한 신아밀로이드증 1예. 대한신장학회지, 15(4), 608–612.
Type
Article
ISSN
1225-0015
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37843
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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