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Paediatric T cell Lymphoma with Nephrotic Syndrome: A Rare Association
Deepa Joseph1, Dubashi Biswajit2, Rajesh Nachiappa Ganesh3
1Department of Radiation Oncology, RCC, JIPMER, Pondicherry, 605006 India.
Insights
Renal involvement is common in pediatric cancers. This case highlights a rare association between T cell lymphoma and nephrotic syndrome in a child.
Area of Science:
- Pediatric Oncology
- Nephrology
- Hematology
Background:
- Renal complications are common in pediatric malignancies, including Hodgkin's lymphoma.
- Causes include tumor lysis syndrome, urinary tract obstruction, and glomerulopathies.
- Nephrotic syndrome is rarely reported in pediatric T cell lymphoma.
Observation:
- A 10-year-old boy presented with peripheral T cell lymphoma.
- The patient also exhibited symptoms of nephrotic syndrome.
Findings:
- This case describes an unusual co-occurrence of peripheral T cell lymphoma and nephrotic syndrome in a pediatric patient.
- It underscores the diverse renal manifestations of hematologic malignancies.
Implications:
- Highlights the importance of considering nephrotic syndrome in children diagnosed with T cell lymphoma.
- Suggests further investigation into the mechanisms linking T cell lymphoma and nephrotic syndrome in pediatric cases.
Abstract:
Renal involvement is frequent in hematologic malignancies especially Hodgkin's lymphoma. Renal complications in children with malignancies primarily arise from tumour lysis syndrome, malignant infiltration or obstruction of the urinary tract, deposits of immunoglobulin fractions or crystals, renal infiltration by malignant cells, paraneoplastic or storage glomerulopathies. Nephrotic syndrome has been described in B cell type Non Hodgkin's lymphomas. There are very few reports of association of T cell lymphoma and nephrotic syndrome in pediatric patients. We present a case of peripheral T cell lymphoma with nephrotic syndrome in a 10 year old boy.
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