Airoldi M, Pelucco L, Lamperti R, Gioia F
Medicina III, Ospedale, Busto Arsizio, Varese.
Recenti Prog Med. 1993 Jun;84(6):423-7.
It is shown a case of IgD myeloma, a rare type of myeloma having often an aggressive course. Besides to confirm clinical and laboratory aspects already known in literature, this case seems to make in evidence a rapid neoplastic proliferation kinetic, difficult to be controlled by conventional chemotherapy. The Authors show that the M component low concentration and the unbalance of the synthesis of the immunoglobulin heavy and light chains may confuse IgD myeloma with light chain myeloma.
本文展示了一例IgD骨髓瘤病例，这是一种罕见的骨髓瘤类型，病程通常较为侵袭性。除了证实文献中已有的临床和实验室特征外，该病例似乎还突显了肿瘤快速增殖的动力学，难以被传统化疗所控制。作者表明，M成分低浓度以及免疫球蛋白重链和轻链合成失衡可能会使IgD骨髓瘤与轻链骨髓瘤相混淆。
