Fang J T, Kuo M C
Division of Nephrology, Chang Gung Memorial Hospital, Chang Gung Medical and Technological College, Taipei, Taiwan, Republic of China.
Ren Fail. 1997 May;19(3):481-3. doi: 10.3109/08860229709047734.
The anion gap in myeloma patients had been well studied. IgG myeloma usually has decreased anion gap, whereas IgA myeloma always presents with normal anion gap. We report an unusual presentation of IgA myeloma with decreased anion gap and renal failure due to superimposing of acetazolamide-related bicarbonate loss.
骨髓瘤患者的阴离子间隙已得到充分研究。IgG 骨髓瘤通常阴离子间隙降低，而 IgA 骨髓瘤的阴离子间隙通常正常。我们报告了一例不寻常的 IgA 骨髓瘤病例，其阴离子间隙降低并伴有肾衰竭，原因是乙酰唑胺相关的碳酸氢盐丢失叠加所致。
