[A wrong move in an amateur football player reveals a light chain myeloma]
| Autor: | Shiva Nassiri, Marine Peyneau, Anne Myara, Salomon Ohana, Sophie Laplanche |
|---|---|
| Jazyk: | francouzština |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Anemia Movement Football Osteolysis Immunoglobulin light chain Diagnosis Differential Immunoglobulin kappa-Chains Internal medicine medicine Humans Multiple myeloma Hematology Proteinuria medicine.diagnostic_test business.industry General Medicine medicine.disease Surgery medicine.anatomical_structure Back Pain Serum protein electrophoresis Athletic Injuries Bone marrow Differential diagnosis medicine.symptom business Multiple Myeloma |
| Zdroj: | Annales de biologie clinique. 74(1) |
| ISSN: | 1950-6112 |
| Popis: | Light chain multiple myeloma is a hematologic malignancy characterized by an excess of tumor plasma cells in the bone marrow and a monoclonal light chain in blood. It is generally diagnosed in patients aged 60-75 years old. Hypercalcemia, anemia, kidney failure, and bone pains are the main clinical and biological signs. Here is an atypical case report about a 30 year-old man who was diagnosed a light chain multiple myeloma. This patient had been suffering from back pain for 5 months. Osteolytic lesions were discovered on X-rays prescribed by the family practitioner. Admitted to the Emergency department, all blood tests showed results within the normal range. The serum protein electrophoresis was also normal. Only the urine analysis showed proteinuria. The urine immunofixation electrophoresis showed a massive κ light chain. The bone marrow aspiration cell count confirmed the myeloma diagnosis with an infiltration of dystrophic plasma cells. The patient was transferred to the hematology ward of Necker Hospital for treatment of light chain myeloma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|