Patient with atypical chest pain and nephrotic range proteinuria finally diagnosed with non-secretory myeloma

• Authors: Michał Holecki , Agata Fryźlewicz-Moska , Dorota Strzałkowska , Jerzy Chudek , Jan Duława
• Languages of publication: EN

Abstracts

EN

Multiple myeloma is the second most common neoplastic disease of lymphoid tissue in adults. However, its atypical non secretory form, is quite rare. We present a case of 70 year old male with atypical chest pain and nephrotic range proteinuria fi nally diagnosed as non secretory myeloma who did not present any of characteristic fi ndings when admitted to hospital. Despite the unusual course the diagnosis was established quickly enough to provide a proper treatment. One should remember that occasionally patients do not match typical criteria necessary for diagnosing a disease.

Keywords

EN

chest pain; myeloma; proteinuria

Discipline

• MEDICINE: MEDICINE

• Journal: Annales Academiae Medicae Silesiensis
• Year: 2010
• Volume: 64
• Issue: 5-6
• Pages: 89-91

Contributors

author

Michał Holecki

• Department of Internal Medicine and Metabolic Diseases Medical University of Silesia, ul. Ziołowa 45/47, Katowice, Poland,

author

Agata Fryźlewicz-Moska

• Department of Internal Medicine and Metabolic Disorders

author

Dorota Strzałkowska

• Department of Internal Medicine and Metabolic Disorders

author

Jerzy Chudek

• Department of Pathophysiology Medical University of Silesia, Katowice, Poland

author

Jan Duława

• Department of Internal Medicine and Metabolic Disorders

References

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• 2. RARECARE Project 2009. www.rarecare. eu
• 3. Kyle R. A, Rajkumar S. . Plasma cell disorders. In: Goldman L, Ausiello D. A, eds. Cecil textbook of medicine, 22nd ed. Philadelphia: W.B Saunders, 2004: 1184–1195.
• 4. Kyle R. A, Gertz M. A, Witzig T. E et al. Review of 1027 patients with newly diagnosed multiple myeloma. Mayo. Clinic. Proc. 2003; 78: 21–33.
• 5. International Myeloma Working Group. Criteria for classifi cation of monoclonal gammapathies, multiple myeloma and related disorders: a report of the International Myeloma Working Group. Br. J. Haematol. 2003; 121:749–757.

• Document Type: article