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Teaching points regarding renal involvement by intravascular large B-cell lymphoma (IVLBCL)
1
IVLBCL is a rare and aggressive lymphoma with a nonspecific protean clinical phenotype
2
The clinical differential diagnosis secondary to the nonspecific nature of IVLBCL can include vasculitis, sepsis, transient ischemic attack, leukemia or a lymphoproliferative disorder, sarcoidosis, multiple sclerosis, and others
3
IVLBCL has been rarely described to directly involve the kidney
4
Diagnosis of IVLBCL is contingent upon tissue sampling