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https://www.riss.kr/link?id=A3310249
2000
-
500
KCI등재후보
학술저널
686-691(6쪽)
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Ascites is a rare complication of multiple myeloma. When it develops, it is usually associated with extensive liver infiltration with plasma cells, infectious peritonitis or myelomatous peritoneal infiltration. Ascites caused by peritoneal infiltratio...
Ascites is a rare complication of multiple myeloma. When it develops, it is usually associated with extensive liver infiltration with plasma cells, infectious peritonitis or myelomatous peritoneal infiltration. Ascites caused by peritoneal infiltration is even less frequent than others. The majority of previously reported cases were characterized by an IgA paraprotein and lack of skeletal lesions. This rare extramedullary complication of myeloma has been unresponsive to therapy and rapidly fatal. Therefore, it is important to recognize myeloma as a cause of ascites and the presence of ascites heralds a poor prognosis of myeloma. We recently experienced a case of myeloma with ascites and reviewed the relevant literature of human myeloma presenting with the triad of ascites, relative or absolute sparing of the skeleton, and an IgA paraprotein. A 76-year-old man was presented with ascites early in the course of myeloma. He had no evidence of intra-abdominal plasmacytoma and skeletal lesions. Myelomatous ascites was demonstrated by the monoclonal immunoglobulin of IgA type in ascitic fluid. He was treated by plasmapheresis due to hyperviscosity syndrome and VAD combination chemotherapy. He was discharged with the improved clinical condition.(Korean J Med 58:686-691, 2000)
최근 3년간 강원도 초·중·고등학생의 HBsAg 양성률 변화에 관한 연구
담낭관의 해부학적 특성과 십이지장 팽대부주위 게실유무의 담석형성과의 관계
Omeprazole, amoxicillin, clarithromycin의 삼제 병합요법의 Helicobacter pylori 박멸효과