Document Detail


Nephrotic syndrome and Hodgkin disease in children: a report of five cases.
MedLine Citation:
PMID:  9083769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report documents the occurrence of a nephrotic syndrome in five children with Hodgkin disease. In two cases the nephrotic syndrome predated the diagnosis of lymphoma by 6 months and 12 months respectively, while in the other three, the two disorders occurred simultaneously. The nephrotic syndrome resolved in four cases during effective treatment for active Hodgkin disease, while proteinuria remained unchanged in the fifth case with partial control of the lymphoma. The occurrence of a nephrotic syndrome as a manifestation of active Hodgkin disease suggests that some immunological abnormalities play a role in the pathogenesis of the association. CONCLUSION: The possibility of glomerular dysfunction although rare must be considered and actively looked for in all cases of Hodgkin disease. Similarly, any unusual sign or symptom noted in patients with nephrotic syndrome, particularly receiving or having received immunosuppressants, requires thorough investigation to determine the presence or absence of lymphoma.
Authors:
J L Stéphan; G Deschênes; Y Pérel; B Bader-Meunier; M Brunat-Mentigny; O Lejars; J P Lamagnères
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of pediatrics     Volume:  156     ISSN:  0340-6199     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-06-25     Completed Date:  1997-06-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  239-42     Citation Subset:  IM    
Affiliation:
Unité d' Oncologie Pédiatrique, St Etienne, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Biopsy, Needle
Child
Combined Modality Therapy
Complement C1q / analysis
Complement C3 / analysis
Female
Glomerular Mesangium / immunology,  pathology
Hodgkin Disease / diagnosis*,  immunology,  therapy
Humans
Immunoglobulin M / analysis
Male
Nephrotic Syndrome / diagnosis*,  immunology,  therapy
Proteinuria / diagnosis,  immunology,  therapy
Remission Induction
Chemical
Reg. No./Substance:
0/Complement C3; 0/Immunoglobulin M; 80295-33-6/Complement C1q

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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