Myeloma cast nephropathy presenting as acute onset bilateral reversible hearing loss

被引：4

作者：

Ahmad, Mufazzal ^{[1
]}

机构：

[1] Univ Toronto, Dept Med, Div Nephrol, Toronto, ON MSG 2C4, Canada

[2] UHN, Toronto, ON MSG 2C4, Canada

来源：

INTERNATIONAL UROLOGY AND NEPHROLOGY | 2007年 / 39卷 / 03期

关键词：

deafness; hearing loss; multiple myeloma; myeloma cast nephropathy;

D O I：

10.1007/s11255-007-9230-x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A case of myeloma cast nephropathy masquerading as bilateral deafness of acute onset, probably due to hyperviscosity syndrome, is presented. Audiometry and kidney biopsy confirmed the diagnosis. Despite the presence of multiple poor prognostic features, the patient responded satisfactorily to plasmapharesis, dialysis and chemotherapy (VAD regimen) along with other supportive measures. The patient had excellent renal recovery, but hearing improvement was delayed for 1 month. Various causes of hearing loss in patients with multiple myeloma and available therapeutic options are discussed.

引用

页码：963 / 965

页数：3

共 6 条

[1]

Aikawa S, 1998, Rinsho Ketsueki, V39, P506

[2] Bilateral transient hearing loss associated with vincristine therapy: Case report [J].

Aydogdu, I ;

Ozturan, O ;

Kuku, I ;

Kaya, E ;

Sevinc, A ;

Yildiz, R .

JOURNAL OF CHEMOTHERAPY, 2000, 12 (06) :530-532

[3]

FUNAKUBO T, 1994, ACTA OTO-LARYNGOL, P200

[4] TOTAL BILATERAL HEARING-LOSS AS A COMPLICATION OF MYELOMA [J].

KEAY, D .

JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1988, 102 (04) :357-358

[5] BLOOD-VISCOSITY AND PLASMA VISCOSITY IN PATIENTS WITH SUDDEN DEAFNESS [J].

OHINATA, Y ;

MAKIMOTO, K ;

KAWAKAMI, M ;

HAGINOMORI, SI ;

ARAKI, M ;

TAKAHASHI, H .

ACTA OTO-LARYNGOLOGICA, 1994, 114 (06) :601-607

[6] Multiple myeloma presenting with external ear canal mass [J].

Quinodoz, D ;

Dulguerov, P ;

Kurt, AM ;

Ruefenacht, D ;

Abele, R ;

Allal, AS ;

Montandon, P .

JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1998, 112 (05) :469-471

← 1 →