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
Rev. méd. Chile
;
146(11): 1351-1355, nov. 2018. tab
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Amiloidose
/
Mieloma Múltiplo
Tipo de estudo:
Estudo diagnóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Espanha
Instituição/País de afiliação:
Hospital Universitario Dr. Peset/ES
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