T-cell Lymphoblastic Leukaemia/Lymphoma Presenting as Bilateral Renal Enlargement and Arthritis: A Rare Case Report

Authors

  • Md Minhaj Uddin Bhuiyan Registrar, Department of Medicine, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh
  • Rajib Bhowmic Assistant Registrar, Department of Medicine, DMCH, Dhaka, Bangladesh
  • Md Shahriar Siddiki Indoor Medical Officer, Department of Medicine, DMCH, Dhaka, Bangladesh
  • Md Kamrul Hasan Patwari Indoor Medical Officer, Department of Medicine, DMCH, Dhaka, Bangladesh
  • Sarmistha Biswas Associate Professor, Department of Medicine, DMCH, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jom.v21i2.50216

Keywords:

Lymphoma, leukaemia, palpable kidneys, arthritis, immunophenotyping

Abstract

Lymphoma usually presents as painless enlargement of lymph nodes with or without systemic symptoms like fever, weight loss, night sweats, itching and hepatosplenomegaly. But renal enlargement and arthritis as initial manifestations of lymphoma are very uncommon and poses a potential diagnostic challenge. Renal manifestations of lymphoma are usually nonspecific hematuria, fever, flank pain and oliguria. Pathological data are scanty in this regard; few reports indicate that it has a very poor prognosis. Here we described a case of lymphoma presented with bilateral palpable kidneys, pyrexia and arthritis. Initially diagnosis was confused as renal dysfunction was absent and also the condition is rare. However, strong clinical suspicion along with radiological and histopathological evidence as well as immunophenotyping tests helped to diagnose the case as T-cell lymphoblastic leukaemia/lymphoma.

J MEDICINE JUL 2020; 21 (2) : 109-112

Downloads

Download data is not yet available.
Abstract
40
PDF
42

Downloads

Published

2020-11-09

How to Cite

Bhuiyan, M. M. U., Bhowmic, R., Siddiki, M. S., Patwari, M. K. H., & Biswas, S. (2020). T-cell Lymphoblastic Leukaemia/Lymphoma Presenting as Bilateral Renal Enlargement and Arthritis: A Rare Case Report. Journal of Medicine, 21(2), 109–112. https://doi.org/10.3329/jom.v21i2.50216

Issue

Vol. 21 No. 2 (2020)

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).