The Case | A 53-year-old woman with acute kidney injury and multiple myeloma
A 53-year-old woman with no significant medical history presented with nausea, vomiting, shortness of breath, epistaxis, unintentional 20-lb weight loss, and acute kidney injury with a creatinine level of 33.0 mg/dl, requiring hemodialysis. Physical examination was unremarkable. The radiographs revealed multiple lytic lesions of the hip and skull. Laboratory evaluation revealed a monoclonal serum spike, a serum free kappa to lambda light chain ratio of 0.002, a serum calcium level of 9.2 mg/dl, a hematocrit level of 22%, a platelet count of 160,000/ μl, and a white blood cell count of 8400/μl.
Source: Kidney International - Category: Urology & Nephrology Authors: Satoru Kudose, Christian Suarez-Fuentes, Vivette D. D ’Agati, Glen S. Markowitz Tags: Make Your Diagnosis Source Type: research
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