NEPHROTIC SYNDROME AS AN UNUSUAL PARANEOPLASTIC-SYNDROME OF HODGKINS-DISEASE DEMONSTRATED ON GA-67 SCAN

Nephrotic syndrome, although rare, is recognized as one of the paraneo plastic syndromes. A patient with documented Hodgkln's disease showed increased uptake of Ga-67 in the cortex of both kidneys in addition to multiple sites of lymphomatous involvement. The patient was not recei ving chemotherapy or any nephrotoxic drugs, and no other reasons that may account for renal uptake of gallium could be identified. The final clinical diagnosis was nephrotic syndrome as an unusual paraneoplasti c syndrome of Hodgkin's disease. Gallium imaging was able to detect mu ltiple sites of lymphoma and the renal uptake due to the associated ne phrotic syndrome.