Multiple Myeloma Presenting as Acute Tubulointerstitial Nephritis and Normal Serum Protein Electrophoresis

Authors

  • Ali Momeni Division of Nephrology, Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran Author
  • Ali Hajigholami Division of Hematology, Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran Author
  • Hamid Nasri Division of Nephropathology, Isfahan Kidney Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Author

Abstract

Multiple myeloma is uncommon in individuals younger than 40 years. Renal involvement is common in this disease, but acute tubulointerstitial nephritis is very rare. In 20% of patients, only the light chain is produced and serum protein electrophoresis is normal; however, in urine protein electrophoresis of these patients, the M spike is present. We reported a case of multiple myeloma in a 39-year-old man with acute tubulointerstitial nephritis. Serum protein electrophoresis was normal and there was no bone lytic lesion. Remission of multiple myeloma was achieved after treatment with thalidomide and dexamethasone; however, kidney failure was not improved and the patient was maintained on hemodialysis.

Downloads

Download data is not yet available.

Author Biographies

  • Ali Momeni, Division of Nephrology, Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

    internal medicin department

    shahrekord medical school

  • Ali Hajigholami, Division of Hematology, Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

    internal medicin department

    shahrekord medical school

  • Hamid Nasri, Division of Nephropathology, Isfahan Kidney Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

    internal medicin department

    shahrekord medical school

Downloads

Published

2012-01-04

Issue

Section

CASE REPORT | Kidney Diseases

How to Cite

Multiple Myeloma Presenting as Acute Tubulointerstitial Nephritis and Normal Serum Protein Electrophoresis. (2012). Iranian Journal of Kidney Diseases, 6(1), 69-72. https://www.ijkd.org/index.php/ijkd/article/view/511

Most read articles by the same author(s)

1 2 3 > >>