1. A Case of Multiple Myeloma Presenting Acute Renal Failure in a Patient with Rheumatoid Arthritis
- Author
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Hyunee Yim, Seong Hyun Jeong, Jiyeon Han, Chang Hee Suh, Sun Hyuk Hwang, Hyoun-Ah Kim, Chang Bum Bae, Sei Rhan Kim, Seung Kyung Lee, Joo Han Park, Sun Young Park, Ju-Yang Jung, and Ga Won Song
- Subjects
medicine.medical_specialty ,Creatinine ,Proteinuria ,medicine.diagnostic_test ,business.industry ,medicine.disease ,Gastroenterology ,chemistry.chemical_compound ,medicine.anatomical_structure ,Rheumatology ,chemistry ,Internal medicine ,Rheumatoid arthritis ,Biopsy ,medicine ,Renal biopsy ,Bone marrow ,medicine.symptom ,business ,Myeloma cast nephropathy ,Multiple myeloma - 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.
- Published
- 2014