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A Case of Multiple Myeloma Presenting Acute Renal Failure in a Patient with Rheumatoid Arthritis

Other Title
혈청양성 류마티스관절염 환자에서 급성 신부전을 동반한 다발성 골수종 1예
Authors
이, 승경; 황, 선혁; 박, 주한; 송, 가원; 박, 선영; 김, 세란; 정, 주양; 배, 창범; 김, 현아; 정, 성현; 임, 현이; 한, 재호; 서, 창희
Citation
Journal of rheumatic diseases, 21(5):266-269, 2014
Journal Title
Journal of rheumatic diseases; 대한류마티스학회지
ISSN
2093-940X2233-4718
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 protei-nuria, renal biopsy, bone marrow biopsy and electro-phoresis 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.
Keywords
Rheumatoid arthritisMultiple myelomaAcute renal failureProteinuria
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
Journal Papers > School of Medicine / Graduate School of Medicine > Nephrology
Journal Papers > School of Medicine / Graduate School of Medicine > Hematology-Oncology
Journal Papers > School of Medicine / Graduate School of Medicine > Pathology
Journal Papers > School of Medicine / Graduate School of Medicine > Rheumatology
AJOU Authors
박, 주한김, 세란정, 주양김, 현아정, 성현임, 현이한, 재호서, 창희
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