A Case of Multiple Myeloma Presenting Acute Renal Failure in a Patient with Rheumatoid Arthritis
Journal of Rheumatic Diseases
;
: 266-269, 2014.
Article
in English
| WPRIM
| ID: wpr-217189
ABSTRACT
It is known that rheumatoid arthritis (RA) patients show increased incidence of multiple myeloma (MM), despite its rarity. Only one case of MM with seronegative RA was reported in Korea, thus far. We report a case of MM with seropositive RA. The patient was a 66 year old female who had been diagnosed with seropositive RA 4 years ago. Over the last 1 month, the patient experienced general weakness and weight loss of 10 kg. It was found that her serum creatinine had increased and her urine analysis showed proteinuria. To evaluate renal failure and proteinuria, renal biopsy, bone marrow biopsy and electrophoresis were carried out. A diagnosis of myeloma cast nephropathy was made. We report this rare case of MM represented as acute renal failure during the treatment for RA, and include a review of the literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthritis, Rheumatoid
/
Proteinuria
/
Biopsy
/
Bone Marrow
/
Weight Loss
/
Incidence
/
Creatinine
/
Diagnosis
/
Electrophoresis
/
Renal Insufficiency
Type of study:
Diagnostic study
/
Incidence study
/
Prognostic study
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Rheumatic Diseases
Year:
2014
Type:
Article
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