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多发性骨髓瘤:文献综述及病例报告——强调骨髓瘤患者的免疫功能低下状态

Multiple Myeloma: A Review of the Literature and a Case Report Highlighting the Immunocompromised State of Myeloma Patients.

作者信息

Nightingale Brandon, Decker Megan, Ryan Robert, Kaczmarczyk Karolina, Jandir Parul, Waykole Trupti, Ashkar Remi, Harmon Gabriella, Mathur Ajay, Levitt Michael

机构信息

Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA.

Hackensack Meridian School of Medicine, Nutley, NJ, USA.

出版信息

World J Oncol. 2024 Jun;15(3):348-354. doi: 10.14740/wjon1780. Epub 2024 Apr 15.

Abstract

Multiple myeloma (MM), a malignancy involving plasma cells, disproportionately affects older adults with an average age of diagnosis of about 70 years. Oftentimes, the therapies used in the treatment of MM are associated with a risk for immunotoxicity, lowering the ability of the immune system to fight off opportunistic infections. This is an important relationship for clinicians to realize as the incidence of opportunistic infections in myeloma patients is increasing. As an example, we present a case of a patient with MM who subsequently developed a cryptococcal infection. Our paper will highlight the key details of the case as well as shed light on the importance of understanding the immunodeficiencies in this patient population. We highlight important aspects of the current literature related to MM and relate them to the associated case.

摘要

多发性骨髓瘤(MM)是一种累及浆细胞的恶性肿瘤,对老年人影响尤为严重,平均诊断年龄约为70岁。通常,用于治疗MM的疗法存在免疫毒性风险,会降低免疫系统抵御机会性感染的能力。鉴于骨髓瘤患者中机会性感染的发生率正在上升,临床医生认识到这一重要关系至关重要。例如,我们介绍一例MM患者随后发生隐球菌感染的病例。我们的论文将突出该病例的关键细节,并阐明了解该患者群体免疫缺陷的重要性。我们强调当前与MM相关文献的重要方面,并将它们与相关病例联系起来。

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Neuro-meningeal cryptococcal infection revealing a multiple myeloma.神经脑膜隐球菌感染揭示多发性骨髓瘤。
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