title: Reversible acute kidney injury (AKI) by active removal of serum light chains in an HIV positive patient with myeloma kidney.
abstract: BACKGROUND
  The association of HIV and myeloma has rarely been reported in the literature. This following case discusses the presentation of acute kidney injury (AKI) in a 53-year-old lady with HIV, subsequently diagnosed with myeloma. Furthermore, we describe recovery of renal function and dialysis independence using a combination of light chain removal by dialysis with a high cut-off dialyzer and chemotherapy.
  
  
  METHODS
  Physical examination, urine, blood tests, renal biopsy, bone marrow aspirate and trephine, US scan.
  
  
  METHODS
  Myeloma.
  
  
  RESULTS
  Dialysis and chemotherapy.
authors: Center for Nephrology, Royal Free Campus, University College London Medical School, London, UK.
authors: L
authors: L
authors: Sowole
authors: A
authors: A
authors: Burns
authors: B
authors: B
authors: Kaur
authors: A
authors: A
authors: Davenport
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood / Q000209:etiology* / Q000628:therapy*; D000970:Antineoplastic Agents / Q000627:therapeutic use; D014408:Biomarkers, Tumor / Q000097:blood; D005260:Female; D006679:HIV Seropositivity / Q000097:blood / Q000150:complications*; D006801:Humans; D007147:Immunoglobulin Light Chains / Q000097:blood*; D007680:Kidney Neoplasms / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D009101:Multiple Myeloma / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D020127:Recovery of Function; D006435:Renal Dialysis
chemical_list: D000970:Antineoplastic Agents; D014408:Biomarkers, Tumor; D007147:Immunoglobulin Light Chains