title: [Primary amyloidosis associated with multiple myeloma and renal failure: case report].
abstract: We report a 53-year-old female on chronic dialysis, presenting with weight loss, the development of big soft masses in the shoulders ("shoulder pads"), forearms and buttocks, macroglossia and rigidity of hands and lower limbs. Laboratory confirmed the presence of amyloidosis and myeloma with lambda chain restricted plasma cell infiltration of bone marrow. The diagnosis of multiple myeloma associated with primary amyloidosis in a patient with terminal renal failure, was reached.
authors.affiliation: Sección Hematología, Hospital del Salvador, Chile.
authors.forename: Camila
authors.initials: C
authors.lastname: Peña O
authors.forename: Marvila
authors.initials: M
authors.lastname: Intriago B
authors.forename: Ana María
authors.initials: AM
authors.lastname: Gray H
authors.forename: María Elena
authors.initials: ME
authors.lastname: Cabrera C
mesh_terms: D000686:Amyloidosis / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D000075363:Immunoglobulin Light-chain Amyloidosis; D007676:Kidney Failure, Chronic / Q000150:complications*; D008260:Macroglossia / Q000473:pathology*; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications*; D011859:Radiography; D051437:Renal Insufficiency / Q000150:complications*; D012782:Shoulder / Q000000981:diagnostic imaging