A Case of Multiple Myeloma and Renal Failure in a Young Patient
A Case of Multiple Myeloma and Renal Failure in a Young Patient作者机构：Nephology Unit Hamad Medical Corporation Doha Qatar Medicine Department Hamad Medical Corporation Doha Qatar
出 版 物：《Open Journal of Nephrology》 (肾脏病（英文）)
年 卷 期：2016年第6卷第4期
页 面：138-144页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Myeloma Cast Nephropathy Plasmapheresis and High Cut-Off Hemodialysis
摘 要：Multiple myeloma is a malignant plasma cell disorder that affects the kidney with various clinical presentations. The most common renal manifestation of multiple myeloma is myeloma cast nephropathy. We are describing a young patient with multiple myeloma presented with back pain, anemia and renal impairment. The renal biopsy showed a myeloma cast nephropathy. She was treated with myeloma chemotherapy, high cut-off hemodialysis and autologous hematopoietic stem cell transplantation with good outcome. We report this rare case of multiple myeloma presented with myeloma cast nephropathy (MCN) in a young patient to describe the evidence of light chain removal strategies including plasmapheresis and high cut-off hemodialysis for the management of myeloma cast nephropathy.
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