| Summary points: | A 23-year old man, diagnosed as having severe anaemia and kidney and liver disease, presents with a 2-week history of weakness and exertional dyspnea. Medical history, physical examination, laboratory data, urinalysis, magnetic resonance imaging, abdominal ultrasonography, renal scintigraphy, esophagogastroduodenoscopy, bone marrow biopsy, peripheral blood smear, treatment, and complications are described. The authors discuss an unusual case of early renal and hepatic involvement believed to be secondary to massive leukaemic infiltration and stress the importance of early recognition and treatment of the disorder to avoid a rapidly fatal outcome. |
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A Rare Initial Manifestation of Acute Lymphocytic Leukemia: Bilaterally Enlarged Kidneys and Liver
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