Revista: | Revista médica de Chile |
Base de datos: | PERIÓDICA |
Número de sistema: | 000425114 |
ISSN: | 0034-9887 |
Autors: | Rodríguez-Lagos, Andrea1 Sorlí, José V3 Calviño-Naveira, Michelle C2 Capell, Nuria Estañ1 |
Institucions: | 1Hospital Universitario "Dr. Peset", Servicio de Análisis Clínicos, Valencia. España 2Grupo de trabajo (GdT) Sociedad Valenciana y Española de Medicina Familiar y Comunitaria, Genética Clínica y Enfermedades Raras, Valencia. España 3Universitat de Valencia, Valencia. España |
Any: | 2018 |
Període: | Nov |
Volum: | 146 |
Número: | 11 |
Paginació: | 1351-1355 |
País: | Chile |
Idioma: | Español |
Tipo de documento: | Artículo |
Enfoque: | Caso clínico |
Resumen en inglés | 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 |
Disciplines | Medicina |
Paraules clau: | Hematología, Inmunología, Terapéutica y rehabilitación, Amiloidosis, Rojo congo, Mieloma múltiple, Células plasmáticas |
Keyword: | Hematology, Immunology, Therapeutics and rehabilitation, Amyloidosis, Congo red, Multiple myeloma, Plasma cells |
Text complet: | Texto completo (Ver PDF) |