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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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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 | |
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Este documento está disponible también en : http://hdl.handle.net/10550/69175 |
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| 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. | |
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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 |
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| https://doi.org/10.4067/S0034-98872018001101351 |