Daunizeau A, Daunizeau A, Comyn F
Sem Hop. 1979;55(41-42):1941-3.
A 76-year-old woman was hospitalized for stabilization of her diabetic condition. The results of radiological, hematological, and biochemical investigations suggested the diagnosis of an IgD myeloma. A specific immune-serum was used to demonstrate the presence of monoclonal protein of the IgD lambda type. The course of the disease was very rapid and death occurred within 19 days from acute renal failure. The authors emphasize the various factors demonstrating the original nature of this observation and conclude by insisting on the necessity to use anti-heavy chains delta and epsilon during the diagnostic investigations for minoclonal gammapathies.
一名76岁女性因糖尿病病情稳定而住院。放射学、血液学和生化检查结果提示为IgD骨髓瘤。使用特异性免疫血清证实存在IgD λ型单克隆蛋白。疾病进展非常迅速，患者在19天内死于急性肾衰竭。作者强调了表明该观察结果原发性的各种因素，并在结论中坚持在诊断微小克隆性丙种球蛋白病的检查过程中使用抗δ和ε重链的必要性。
