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Acute Renal Failure due to Cast Nephropathy in Nonsecretory Myeloma: A Case Report and Review of the Literature

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Abstract

Multiple myeloma is characterized by marrow plamacytsois, M spike in serum or urine electrophoresis and skeletal lytic lesions. The M spike may be absent in rare instances. We describe a case of myeloma cast nephropathy with acute renal failure who did not exhibit an M spike. λ-chain staining was documented on immunoperoxidase, suggesting paraprotein-related tubular damage.

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Authors and Affiliations

  1. Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    S. Karthik Kumar, Preet M. Sohal, Harbir S. Kohli, Kamal Sud, Krishan L. Gupta, Vinay Sakhuja & Vivekanand Jha

  2. Department of Nephrology and Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Kusum Joshi

Authors
  1. S. Karthik Kumar
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  2. Preet M. Sohal
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  3. Harbir S. Kohli
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  4. Kamal Sud
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  5. Krishan L. Gupta
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  6. Kusum Joshi
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  7. Vinay Sakhuja
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  8. Vivekanand Jha
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Correspondence to Vivekanand Jha.

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Kumar, S.K., Sohal, P.M., Kohli, H.S. et al. Acute Renal Failure due to Cast Nephropathy in Nonsecretory Myeloma: A Case Report and Review of the Literature. Int Urol Nephrol 37, 351–353 (2005). https://doi.org/10.1007/s11255-004-2362-3

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  • DOI: https://doi.org/10.1007/s11255-004-2362-3

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