PT  - JOURNAL ARTICLE
AU  - Seongseok Yun
AU  - Courtney N Walker
AU  - Nicole D Vincelette
AU  - Faiz Anwer
TI  - Acute renal failure and type B lactic acidosis as first manifestation of extranodal T-cell lymphoblastic lymphoma
AID  - 10.1136/bcr-2014-205044
DP  - 2014 Jun 07
TA  - BMJ Case Reports
PG  - bcr2014205044
VI  - 2014
4099  - http://casereports.bmj.com/content/2014/bcr-2014-205044.short
4100  - http://casereports.bmj.com/content/2014/bcr-2014-205044.full
AB  - We describe a rare case of a 19-year-old male patient with a history of epilepsy and developmental delay who presented with acute renal failure (ARF) and lactic acidosis (LA) as the first manifestation of T-cell lymphoblastic lymphoma. Renal ultrasound and CT of the abdomen showed renal parenchymal infiltration, and renal biopsy demonstrated T-cell lymphoblastic lymphoma. LA, ARF and electrolyte abnormalities were refractory to the initial treatment of bicarbonate infusion and hydration. However, these abnormalities rapidly normalised after the initiation of chemotherapy, suggesting that the LA and ARF were secondary to lymphomatous renal infiltration.