NEJM: Indo-Indo-Indo-Indo-Indo-Case Report.
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Last Update: 2020-07-27
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Source: Internet
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Author: User
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The patient !----, a 72-year-old man who had been suffering from fatigue and right hip pain for one month, was referred to the haematology department and found to have abnormal serum protein electrophoresis resultsrelated laboratory test results include an creatinine level of 0.8mg/dL (71mmol/L) (normal range 0.7 to 1.2mg/dL (62 to 106mmol/L) and blood calcium level of 9.4mg/dL (2.4mmol/L) (normal range 8.8 to 10.6 mg/dL (2.2 to 2.6mmol/L) with a total protein level of 9.4 g/dL (normal range of 6.6 to 8.3)immune-fix serum protein electrophoresis confirmed that IgG-monoclonal antibodies are 5.5 g/dLbone tests showed solubility damage to the tibia, cheekbones and skulls, and a bone marrow biopsy confirmed that 70% of the plasma cells were limited by kappa light chain and were diagnosed with multiple myelomapulp cell examination sifted cells with the characteristics of the ring cell morphology, which is common in adenocarcinoma, which produces viscoproteinshowever, the cause of myeloma is not entirely clearthe presence of this cell is due to the large containing defective immunoglobulin vesicle, which squeezes the nucleus aroundthe patient began treatment with boratizomi, cyclophosphamide and dexamethasone induction programmes, and plans to carry out maintenance therapy.
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