A Case of Multiple Myeloma and Renal Failure in a Young Patient - Open Journal of Nephrology

OJNeph > Vol.6 No.4, December 2016

A Case of Multiple Myeloma and Renal Failure in a Young Patient ()

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Download as PDF (Size: 322KB) PP. 138-144

DOI: 10.4236/ojneph.2016.64017 1,592 Downloads 4,179 Views

Author(s)

Muftah Othman^1*, Eiman Homid¹, Mohamed Sadek², Ali Rahil², Awad Rashed¹

Affiliation(s)

¹Nephology Unit, Hamad Medical Corporation, Doha, Qatar.
²Medicine Department, Hamad Medical Corporation, Doha, Qatar.

ABSTRACT

Multiple myeloma is a malignant plasma cell disorder that affects the kidney with various clinical presentations. The most common renal manifestation of multiple myeloma is myeloma cast nephropathy. We are describing a young patient with multiple myeloma presented with back pain, anemia and renal impairment. The renal biopsy showed a myeloma cast nephropathy. She was treated with myeloma chemotherapy, high cut-off hemodialysis and autologous hematopoietic stem cell transplantation with good outcome. We report this rare case of multiple myeloma presented with myeloma cast nephropathy (MCN) in a young patient to describe the evidence of light chain removal strategies including plasmapheresis and high cut-off hemodialysis for the management of myeloma cast nephropathy.

KEYWORDS

Myeloma Cast Nephropathy, Plasmapheresis, and High Cut-Off Hemodialysis

Share and Cite:

Othman, M. , Homid, E. , Sadek, M. , Rahil, A. and Rashed, A. (2016) A Case of Multiple Myeloma and Renal Failure in a Young Patient. Open Journal of Nephrology, 6, 138-144. doi: 10.4236/ojneph.2016.64017.

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