Abstract:
:Although plasma cell infiltration is not rare in autopsy of patients with multiple myeloma (MM), it is very rarely detected in living patients. This is because MM rarely causes significant liver dysfunction that requires further evaluation. A 49-year-old man presented with acute renal failure and was diagnosed with kappa light chain MM stage IIB. Thalidomide and dexamethasone were initiated. The patient developed a continuous increase in bilirubin that led to severe cholestasis. A liver biopsy revealed plasma cell infiltration. He then rapidly progressed to liver failure and died. Treatment options are limited in MM with significant liver dysfunction. Despite new drug therapies in MM, those patients with rapidly progressive liver failure appear to have a dismal outcome.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Rahhal FE,Schade RR,Nayak A,Coleman TAdoi
10.3748/wjg.15.2038subject
Has Abstractpub_date
2009-04-28 00:00:00pages
2038-40issue
16eissn
1007-9327issn
2219-2840journal_volume
15pub_type
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journal_title:World journal of gastroenterology
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