Acute Kidney Injury in a Patient with Polyarteritis Nodosa and Multiple Myeloma
-
- Yokota Kazuhiro
- Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan
-
- Inoue Tsutomu
- Department of Nephrology, Saitama Medical University, Japan
-
- Akiyama Yuji
- Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan
-
- Kajiyama Hiroshi
- Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan
-
- Funakubo Asanuma Yu
- Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan
-
- Arai Eiichi
- Department of Pathology, Saitama Medical University, Japan
-
- Suzuki Hiromichi
- Department of Nephrology, Saitama Medical University, Japan
-
- Mimura Toshihide
- Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan
この論文をさがす
抄録
We herein report the case of a Japanese man with polyarteritis nodosa (PAN) accompanied by multiple myeloma (MM). The patient was diagnosed with PAN. Concurrently, IgG kappa paraprotein was detected, and bone marrow changes indicative of MM were observed. Prednisolone (PSL) administered at a dose of 30 mg/day was initiated; however, the serum creatinine level increased. In spite of increasing the dose of PSL to 45 mg/day and initiating treatment with double filtration plasmapheresis, the patient's renal dysfunction continued to progress and haemodialysis was introduced. He died from pneumonia 12 months after admission. We conclude that renal failure is an important risk factor in the prognosis of PAN accompanied by MM.<br>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 53 (3), 263-267, 2014
一般社団法人 日本内科学会