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Acute myeloid leukemia in a 38-year-old hemodialyzed patient with von Hippel-Lindau disease.
[von hippel-lindau disease]
Von
Hippel-
Lindau
disease
(
VHL
disease
)
is
a
hereditary
cancer
predisposition
syndrome
caused
by
mutations
of
the
von
Hippel-
Lindau
tumor
suppressor
gene
.
The
gene
product
,
pVHL
,
regulates
the
level
of
proteins
that
play
a
central
role
in
protecting
cells
against
hypoxia
.
Clinical
hallmarks
of
von
Hippel-
Lindau
disease
are
the
development
of
central
nervous
system
hemangioblastomas
,
renal
cell
carcinoma
,
pheochromocytoma
,
neuroendocrine
tumors
and
endolymphatic
sac
tumors
.
In
this
article
the
case
of
a
38
-
year
old
hemodialyzed
patient
who
became
ill
with
acute
myeloid
leukemia
(
AML
)
three
years
after
being
diagnosed
with
von
Hippel-
Lindau
disease
is
presented
.
After
cytostatic
treatment
the
patient
went
into
complete
hematologic
remission
but
there
was
still
residual
disease
at
the
genetic
level
.
After
consolidation
therapy
patient
developed
bone
marrow
aplasia
and
severe
pneumonia
.
Despite
intensive
treatment
the
patient
died
from
acute
respiratory
failure
.
In
this
paper
we
present
for
the
first
time
a
case
of
von
Hippel-
Lindau
disease
associated
with
acute
myeloid
leukemia
.
No
evidence
of
relationship
between
VHL
disease
and
blood
cancers
has
been
demonstrated
so
far
.
Despite
the
fact
that
there
is
an
increased
risk
of
cancer
development
in
hemodialyzed
patients
,
cancer
is
a
relatively
rare
cause
of
death
in
the
dialysed
population
,
and
the
most
common
malignancies
are
genitourinary
cancers
.
It
seems
likely
that
development
of
acute
myeloid
leukemia
in
patient
with
VHL
disease
can
be
related
to
epigenetic
alterations
of
the
VHL
gene
,
but
further
studies
are
needed
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated