[Myeloma-related nephropathy (incidence, clinical aspects and morphology). Analysis of 95 cases of multiple myeloma]. / Mielomnaia nefropatiia (chastota razvitiia, klinika, morfologiia). Analiz 95 sluchaev mnozhestvennoi mielomy.

The authors provided the results of observations of 95 patients with multiple myeloma (MM). Signs of renal involvement in that period were detected in 79% of the patients. The authors analyzed the frequency of various symptoms of myelogenic nephropathy (MN) and its evolution. The comparison of clinicolaboratory findings and the nature of morphological changes of the renal tissue in the MN patients made it possible to define 3 stages in MN development. When the predominance of renal symptomatology made the diagnosis of MM difficult, puncture nephrobiopsy was recommended. It can be performed in the absence of marked hyperproteinemia and hemostatic disorders.