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Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente. Caso clínico

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	Rodríguez Lagos, F. Andrea; Sorlí Guerola, José Vicente; Calviño Naveira, Michelle C.; Estañ Capell, Nuria
	This document is a artículoDate2018
	Este documento está disponible también en : http://hdl.handle.net/10550/69175
	Multiple Myeloma is a myeloproliferative disorder of plasma cells, which may be complicated with secondary amyloidosis. We report a 48 year old woman consulting to primary care for weight loss and malaise. An initial laboratory study revealed a hypogammaglobulinemia with a monoclonal component and lambda light chains. These results motivated her derivation to hematology: her serum calcium was 11.8 mg/dl, immunofluorescence showed a monoclonal component of lambda chains and urine Bence-Jones protein was positive. A bone marrow biopsy confirmed plasma cell infiltration. A Congo-red stain of a rectal biopsy was positive. The patient was treated with thalidomide, bortezomid and dexamethasone.
	Rodríguez Lagos, F. Andrea Sorlí Guerola, José Vicente Calviño Naveira, Michelle C. Estañ Capell, Nuria 2018 Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente. Caso clínico Revista Medica de Chile 146 11 1351 1355
	https://doi.org/10.4067/S0034-98872018001101351