title: [IgD myeloma. Presentation of a case and review of the literature].
abstract: A case of IgD myeloma that began with high paraproteinaemia, BJ proteinuria of type and 40% marrow plasmacellular infiltration is reported. These onset data suggested a large tumoral mass and hence a poor prognosis. On the other hand, after subjecting the patient to 4 polychemotherapy cycles (alkeran and prednisone) CM disappeared from serum and urine and bone lesion progression stopped. It is also stressed that this from presents clinical (frequent extra-osseous growth, presence of amyloidosis), laboratory (severe anaemia, renal insufficiency, BJ proteinuria) and particular prognostic features.
authors.affiliation: Divisione Medicina, Ospedale Civile, Novi Ligure, Alessandria.
authors.forename: G
authors.initials: G
authors.lastname: Fiore
authors.forename: A
authors.initials: A
authors.lastname: Baraldi
authors.forename: L G
authors.initials: LG
authors.lastname: Cremonte
authors.forename: M
authors.initials: M
authors.lastname: Marenco
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D006801:Humans; D007072:Immunoglobulin D; D008297:Male; D008558:Melphalan / Q000008:administration & dosage; D009101:Multiple Myeloma / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000008:administration & dosage; D011379:Prognosis
chemical_list: D007072:Immunoglobulin D; D008558:Melphalan; D011241:Prednisone
vernacular_title: IgD mieloma. Presentazione di un caso e revisione della letteratura.