HEPATIC-FAILURE IN A CASE OF MULTIPLE MYELOMA-ASSOCIATED AMYLOIDOSIS (KAPPA-AL)

被引：34

作者：

YAMAMOTO, T

MAEDA, N

KAWASAKI, H

机构：

[1] Second Department of Internal Medicine, Tottori University Faculty of Medicine, Yonago

[2] Department of Gastroenterology, Hamada National Hospital, Hamada

来源：

JOURNAL OF GASTROENTEROLOGY | 1995年 / 30卷 / 03期

关键词：

HEPATIC FAILURE; MULTIPLE MYELOMA; AMYLOIDOSIS; IGG-KAPPA;

D O I：

10.1007/BF02347517

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report a case of kappa-AL amyloidosis which rapidly developed hepatic failure in a 79-year-old Japanese female who was admitted to our hospital because of abdominal distension and loss of appetite. Laboratory examination revealed a marked deterioration of liver function with cholestasis and monoclonal gammapathy. At the time that the diagnosis of IgG-kappa type multiple myeloma was made, jaundice was advanced, with continuous gastrointestinal bleeding. The patient died of hepatic failure 2 weeks after admission. Needle biopsy of the liver revealed a diffuse, massive deposition of amyloid protein.

引用

页码：393 / 397

页数：5

共 33 条

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