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

F. Andrea Rodríguez-Lagos, José V. Sorlí, Michelle C. Calviño-Naveira, Nuria Estañ Capell
2018 Revista médica de Chile (Impresa)  
Papel del médico de familia en el diagnóstico concomitante de mieloma y amiloidosis primaria en una misma paciente. Caso clínico F. andrea rodríguez-lagos 1,2 , José V. sorlí 2,3,4,a , MiChelle C. CalViño-naVeira 2,5 , nuria estañ CaPell 1 Multiple myeloma associated with a secondary amyloidosis. Report of one case 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
more » ... ight 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. (Rev Med Chile 2018; 146: 1351-1355
doi:10.4067/s0034-98872018001101351 fatcat:5ndw4epoyraxrbioj2qs4zkqcm