A Case of Light Chain Deposition Disease without Significant Proteinuria / 대한신장학회잡지
Korean Journal of Nephrology
; : 581-585, 2003.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-51000
Responsible library:
WPRO
ABSTRACT
A 67-year-old male was admitted to the hospital for evaluation of incidentally detected anemia and mild azotemia. Urinalysis showed no abnormal finding and 24 hr urine protein amount was clinically insignificant (270 mg/day). Urine and serum protein electrophoresis were negative for a monoclonal spike. However, urine and serum immunoelectrophoresis demonstrated the presence of monoclonal free kappa light chains. Renal biopsy showed the features of chronic tubulointerstitial disease and on the immunofluorescence studies, kappa light chain was in a linear pattern in basement membranes of glomeruli and tubules. Work-up for multiple myeloma including bone marrow biopsy showed results compatible with multiple myeloma. Treatment was started with vincristine, adriamycin and doxorubicin at monthly interval for three months followed by autologus peripheral blood stem cell transplantation. At follow-up 5 months after autologus peripheral blood stem cell transplantation, the patient is well with a serum creatinine of 2.3-2.6 mg/dL and 24 hr urine protein of 200-350 mg.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Proteinuria
/
Basement Membrane
/
Vincristine
/
Biopsy
/
Bone Marrow
/
Immunoelectrophoresis
/
Doxorubicin
/
Follow-Up Studies
/
Fluorescent Antibody Technique
/
Urinalysis
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2003
Document type:
Article