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以塌陷性肾小球病为表现的多发性骨髓瘤

Multiple myeloma presenting as collapsing glomerulopathy.

作者信息

Bhowmik Dipankar, Dinda Amit K, Gupta Sanjay, Agarwal Sanjay K, Tiwari Suresh C, Dash Suresh C

机构信息

Department of Nephrology, All India Institute of Medical Sciences, New Delhi.

出版信息

Indian J Pathol Microbiol. 2003 Apr;46(2):233-4.

Abstract

A 54 year old male patient was admitted with advanced renal failure of recent onset. Serology was noncontributory. Renal biopsy showed collapsing glomerulopathy with interstitial fibrosis. Bone marrow examination confirmed the diagnosis of multiple myeloma. With chemotherapy multiple myeloma went into remission. However he continued to remain dialysis dependent and a repeat kidney biopsy showed progression to endstage renal disease.

摘要

一名54岁男性患者因近期出现的晚期肾衰竭入院。血清学检查无异常发现。肾活检显示肾小球塌陷伴间质纤维化。骨髓检查确诊为多发性骨髓瘤。经过化疗,多发性骨髓瘤进入缓解期。然而,他仍需依赖透析,再次肾活检显示已进展为终末期肾病。

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