Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente. Caso clínico



Document title: Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente. Caso clínico
Journal: Revista médica de Chile
Database: PERIÓDICA
System number: 000425114
ISSN: 0034-9887
Authors: 1
3
2
1
Institutions: 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
Year:
Season: Nov
Volumen: 146
Number: 11
Pages: 1351-1355
Country: Chile
Language: Español
Document type: Artículo
Approach: Caso clínico
English abstract 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
Keyword: 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
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