Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
Advanced search 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 792 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

SCOT FORUM Table of Contents   
Year : 2011  |  Volume : 22  |  Issue : 4  |  Page : 847-852
A young man with polyuria and lethargy

King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Salman Imtiaz
King Khalid University Hospital, King Saud University, P.O. Box 71449, Postal code 11587, Riyadh
Saudi Arabia
Login to access the Email id

PMID: 21743247

Rights and Permissions

We report a 20-year-old man who presented to our emergency room with a history of polyuria, weakness, constipation, nausea, and vomiting of two months duration. History and clinical examination revealed a significant weight loss and mild hepatomegaly. Laboratory investigations revealed hypokalemia, hypernatremia, and severe metabolic acidosis and anemia. Ultra-sound of the abdomen revealed enlarged kidneys without hydronerphrosis. The patient developed paralysis due to further decline in serum potassium level, which improved after an aggressive fluid and electrolyte management. He was investigated extensively for polyuria and type of acidosis. The kidney biopsy showed interstitial leukemic infiltration. He was managed accordingly and recovered from the condition. This case demonstrates an unusual presentation of a hematological malignancy, which was a diagnostic as well as a management challenge.

Print this article  Email this article

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded398    
    Comments [Add]    

Recommend this journal