[Successful haemodialysis treatment of acute renal failure in a patient with multiple myeloma (author's transl)].
A case of multiple myeloma with severe osteolytic destructions and myeloma kidney is presented, in whom a rapidly progressive renal insufficiency because of hyponatraemia and dehydration developed. After 5 months of regular dialysis treatment diuresis increased and a sufficient global kidney function recurred. Aetiological factors and the pathomechanisms of acute renal failure in multiple myeloma are discussed. We assume that acute renal insufficiency is - in rare cases - at least partly reversible. Therefore patients with acute renal failure and multiple myeloma should not be excluded from haemodialysis treatment because even complete rehabilitation can be achieved.
D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy*; D003520:Cyclophosphamide / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008558:Melphalan / Q000627:therapeutic use; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000628:therapy; D011239:Prednisolone / Q000627:therapeutic use; D006435:Renal Dialysis
D003520:Cyclophosphamide; D011239:Prednisolone; D008558:Melphalan
Erfolgreiche Dialysebehandlung eines akuten Nierenversagens bei Myelom.