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A Case of Multiple Myeloma Presenting Acute Renal Failure in a Patient with Rheumatoid Arthritis
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À̽°æ(Lee Seung-Kyung) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Ȳ¼±Çõ(Hwang Sun-Hyuk) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹ÚÁÖÇÑ(Park Joo-Han) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¼Û°¡¿ø(Song Ga-Won) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹Ú¼±¿µ(Park Sun-Young) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±è¼¼¶õ(Kim Sei-Rhan) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¤ÁÖ¾ç(Jung Ju-Yang) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹èâ¹ü(Bae Chang-Bum) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÇö¾Æ(Kim Hyun-Ah) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¤¼ºÇö(Jung Seong-Hyun) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÓÇöÀÌ(Yim Hyun-Ee) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
ÇÑÀçÈ£(Han Jae-Ho) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¼Ã¢Èñ(Suh Chang-Hee) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
Ç÷û¾ç¼º ·ù¸¶Æ¼½º°üÀý¿° ȯÀÚ¿¡¼ °©Àڱ⠹߻ýÇÑ ´Ü¹é´¢ ¹× ±Þ¼º ½ÅºÎÀüÀ¸·Î ³»¿øÇÏ¿© ´Ù¹ß¼º °ñ¼öÁ¾À» Áø´ÜµÈ °æÇèÀ» ÇÏ¿´À¸¹Ç·Î ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
It is known that rheumatoid arthritis (RA) patients show increased incidence of multiple myeloma (MM), despite its rarity. Only one case of MM with seronegative RA was reported in Korea, thus far. We report a case of MM with seropositive RA. The patient was a 66 year old female who had been diagnosed with seropositive RA 4 years ago. Over the last 1 month, the patient experienced general weakness and weight loss of 10 kg. It was found that her serum creatinine had increased and her urine analysis showed proteinuria. To evaluate renal failure and protei-nuria, renal biopsy, bone marrow biopsy and electro-phoresis were carried out. A diagnosis of myeloma cast nephropathy was made. We report this rare case of MM represented as acute renal failure during the treatment for RA, and include a review of the literature.
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Rheumatoid arthritis, Multiple myeloma, Acute renal failure, Proteinuria
KMID :
0388220140210050266
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