[IgD myeloma. Presentation of a case and review of the literature].
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.
Fiore
G
G
Divisione Medicina, Ospedale Civile, Novi Ligure, Alessandria.
Baraldi
A
A
Cremonte
L G
LG
Marenco
M
M
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
D007072:Immunoglobulin D; D008558:Melphalan; D011241:Prednisone
IgD mieloma. Presentazione di un caso e revisione della letteratura.