Tumor Lysis Syndrome and Acute Kidney Injury: Evaluation, Prevention, and Management

Tumor lysis syndrome (TLS) describes a constellation of biochemical and clinical abnormalities resulting from rapid and massive tumor cell death. TLS is frequently associated with hyperuricemia, hyperkalemia, hyperphosphatemia, and secondary hypocalcemia that may lead to serious clinical complicatio...

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Veröffentlicht in:American journal of kidney diseases 2010-05, Vol.55 (5), p.S1-S13
Hauptverfasser: Abu-Alfa, Ali K., MD, Younes, Anas, MD
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container_title American journal of kidney diseases
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creator Abu-Alfa, Ali K., MD
Younes, Anas, MD
description Tumor lysis syndrome (TLS) describes a constellation of biochemical and clinical abnormalities resulting from rapid and massive tumor cell death. TLS is frequently associated with hyperuricemia, hyperkalemia, hyperphosphatemia, and secondary hypocalcemia that may lead to serious clinical complications, including acute kidney injury and cardiac arrest. Identification of tumor- and patient-specific risk factors for TLS and early recognition of laboratory and clinical TLS based on established criteria are essential for preventing TLS and forestalling acute kidney injury. Early collaboration between oncologists and nephrologists will help improve assessment of patients' kidney function and risk factors, paving the way for timely and efficacious interventions.
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subjects Acute Disease
acute kidney injury
hematologic malignancy
Humans
hyperuricemia
Incidence
Kidney Diseases - epidemiology
Kidney Diseases - etiology
Kidney Diseases - prevention & control
Kidney Diseases - therapy
Nephrology
prevention
Risk Factors
Tumor lysis syndrome
Tumor Lysis Syndrome - complications
Tumor Lysis Syndrome - etiology
Tumor Lysis Syndrome - prevention & control
Tumor Lysis Syndrome - therapy
title Tumor Lysis Syndrome and Acute Kidney Injury: Evaluation, Prevention, and Management
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