Multiple Myeloma as a rare cause of membranoproliferative glomerular nephritis

A. Nimalan, S. Sivansuthan
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Abstract

Multiple myeloma (MM) is a relatively unco -mmon cancer characterized by the neoplastic proliferation of plasma cells producing a monoc -lonal immunoglobulin(Ig). Renal failure in multiple myeloma is around 48% and it may be the presenting manifestation of MM.[1] Renal involvement is multifactorial including light chain cast nephropathy amyloidosis, monoclonal Ig deposition disease and less frequently cryoglobulinaemic glomerulonephritis and proliferative glomerulonephritis.[2-5] Hence membrano proliferative glomerulonephritis (MPGN) is a rare form in MM. Here we report a case of multiple myeloma with MPGN in a 60-year-old male who succumbed to death while on chemotherapy.
多发性骨髓瘤是膜增生性肾小球肾炎的罕见病因
多发性骨髓瘤(MM)是一种相对不常见的癌症,其特征是产生单克隆免疫球蛋白(Ig)的浆细胞的肿瘤性增殖。多发性骨髓瘤中肾衰竭约占48%,可能是MM的主要表现[1]。肾脏受累是多因素的,包括轻链铸型肾病、淀粉样变性、单克隆性Ig沉积病以及少见的冷球蛋白血症性肾小球肾炎和增生性肾小球肾炎。[2-5]因此,膜增生性肾小球肾炎(MPGN)在MM中是一种罕见的形式。我们在此报告一例60岁男性多发性骨髓瘤伴MPGN,在化疗期间死亡。
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