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Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente: caso clínico / Multiple myeloma associated with a secondary amyloidosis: report of one case
Rodríguez-Lagos, F Andrea; Sorlí, José V; Calviño-Naveira, Michelle C; Capell, Nuria Estañ.
  • Rodríguez-Lagos, F Andrea; Hospital Universitario Dr. Peset. Servicio de Análisis Clínicos. Valencia. ES
  • Sorlí, José V; s.af
  • Calviño-Naveira, Michelle C; s.af
  • Capell, Nuria Estañ; Hospital Universitario Dr. Peset. Servicio de Análisis Clínicos. Valencia. ES
Rev. méd. Chile ; 146(11): 1351-1355, nov. 2018. tab
Article in Spanish | LILACS | ID: biblio-985710
ABSTRACT
Multiple Myeloma is a myeloproliferative disorder of plasma cells, which may be complicated with secondary amyloidosis. We report a 48 year old woman consulting to primary care for weight loss and malaise. An initial laboratory study revealed a hypogammaglobulinemia with a monoclonal component and lambda light chains. These results motivated her derivation to hematology her serum calcium was 11.8 mg/dl, immunofluorescence showed a monoclonal component of lambda chains and urine Bence-Jones protein was positive. A bone marrow biopsy confirmed plasma cell infiltration. A Congo-red stain of a rectal biopsy was positive. The patient was treated with thalidomide, bortezomid and dexamethasone.
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Full text: Available Index: LILACS (Americas) Main subject: Amyloidosis / Multiple Myeloma Type of study: Diagnostic study / Risk factors / Screening study Limits: Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Spain Institution/Affiliation country: Hospital Universitario Dr. Peset/ES

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Full text: Available Index: LILACS (Americas) Main subject: Amyloidosis / Multiple Myeloma Type of study: Diagnostic study / Risk factors / Screening study Limits: Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Spain Institution/Affiliation country: Hospital Universitario Dr. Peset/ES