A case of multiple myeloma presenting as a distal renal tubular acidosis with extensive bilateral nephrolithiasis

Conclusion Isolated distal renal tubular acidosis is a rare presentation of multiple myeloma. In the absence of hypercalciuria and demonstrable light chain excretion in urine, we assumed that the distal renal tubular acidosis could have been caused by monoclonal hypergammaglobulinaemic state of multiple myeloma.
Source: BMC Hematology - Category: Hematology Source Type: research