Uncontrolled hypertension secondary to leukemic cell infiltration of kidneys in a hemodialysis patient

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dc.contributor.authorTürkmen, Kültigin
dc.contributor.authorAltıntepe, Lütfullah
dc.contributor.authorGüney, İbrahim
dc.contributor.authorAydoğdu, İsmet
dc.contributor.authorKoç, Osman
dc.contributor.authorErkut, Mehmet Ali
dc.contributor.authorTonbul, Halil Zeki
dc.date.accessioned2020-03-26T18:06:18Z
dc.date.available2020-03-26T18:06:18Z
dc.date.issued2010
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractLeukemic infiltration of the kidney is usually silent, and the admission of the patients with renal dysfunction or acute kidney injury is uncommon. We present a 34-year old hemodialysis patient with new onset of uncontrolled hypertension, erythropoietin-resistant anemia, thrombocytopenia, and Bell's palsy. On admission, his blood pressure (BP) was 210/110 mmHg and he had petechiae and purpura at upper and lower extremities. Renal ultrasonography (USG) showed bilaterally enlarged kidneys without hydronephrosis, unlike his previous USG, which determined bilaterally atrophic kidneys. Acute lymphoblastic leukemia, hypertensive crisis due to bilateral leukemic cell infiltration of kidneys, tumor lysis syndrome, and leukemic involvement of the facial nerve were diagnosed. Despite intense antihypertensive management, his BP was not controlled. After prednisolone, daunorubicine, and vincristine therapy, the size of kidneys diminished and his BP dropped under normal range. In conclusion, pathological findings such as uncontrolled hypertension, flank pain, skin rashes, and abnormal blood count should be considered carefully, even in patients with end-stage renal disease receiving renal replacement therapy. © 2010 Turkmen et al.en_US
dc.identifier.endpage68en_US
dc.identifier.issn1178-7058en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage65en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/25672
dc.identifier.volume3en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofInternational Journal of Nephrology and Renovascular Diseaseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectHemodialysisen_US
dc.subjectLeukemic cell infiltrationen_US
dc.subjectUncontrolled hypertensionen_US
dc.titleUncontrolled hypertension secondary to leukemic cell infiltration of kidneys in a hemodialysis patienten_US
dc.typeArticleen_US

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