• The Journal of pediatrics · Oct 1994

    Case Reports

    Lactic acidosis and renal enlargement at diagnosis and relapse of acute lymphoblastic leukemia.

    • A A Ali, C D Flombaum, J A Brochstein, A P Gillio, J B Bussel, and F Boulad.
    • Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021.
    • J. Pediatr. 1994 Oct 1; 125 (4): 584-6.

    AbstractBilateral renal enlargement was noted on ultrasonography during an extensive renal evaluation for severe hypokalemic metabolic acidosis with an increased anion gap in a 12-year-old Hispanic boy who had normal results of a physical examination and complete blood count. The patient was found to have acute lymphoblastic leukemia. Resolution of the lactic acidosis and bilateral renal enlargement occurred with initiation of chemotherapy and recurred with each subsequent relapse.

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