临床误诊误治2017，Vol.30Issue(6)：36-38,3.DOI:10.3969/j.issn.1002-3429.2017.06.014
以肾衰竭为首发表现的Castleman病一例并文献复习
Castleman Disease With Renal Failure as an Initial Symptom: a Case Report and Literature Review
廖莹 1万启军 1黄浩桂1
作者信息
- 1. 518035 广东 深圳,深圳市第二人民医院肾内科
- 折叠
摘要
Abstract
Objective To discuss clinical and pathological characteristics of Castleman disease with renal failure as an initial symptom.Methods Clinical data of one Castleman disease patient with renal failure as an initial symptom was retrospectively analyzed.Results The patient went to hospital because of edema and abnormal urine colour for 10 months and abnormal renal function for 4 months.The patient was diagnosed as having chronic kidney insufficiency (uremia period), and the symptom did not relieve after peritoneal dialysis and other related treatments.Multicentric Castleman disease and chronic kidney disease (stage Ⅳ) was confirmed by results of bone marrow biopsy cytological examination, lymph node biopsy pathologic examination, immunohistochemical staining and pathologic examination for kidney tissue after admission.Chemotherapy and symptomatic treatment were given, and the patient was discharged after condition had improved.With follow-up for more than 8 years, the patient had no recurrence.Conclusion Clinicians should actively find causes of patients with acute kidney injury, and consider the possibility of Castleman disease when patients have multiple lymph nodes enlargement.Lymph node biopsy should be performed early to avoid misdiagnosis and mistreatment.关键词
Castleman病/巨淋巴结增生/误诊/尿毒症Key words
Castleman disease/Giant lymph node hyperplasia/Misdiagnosis/Uremia分类
医药卫生引用本文复制引用
廖莹,万启军,黄浩桂..以肾衰竭为首发表现的Castleman病一例并文献复习[J].临床误诊误治,2017,30(6):36-38,3.
