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Dialysis treatment in multiple myeloma
International Urology and Nephrology
|January 1, 1985
Summary
Acute renal failure in multiple myeloma patients can occur after intravenous urography. Despite dialysis treatment, all patients died from pulmonary infections, highlighting the importance of prevention over treatment for kidney failure.
Area of Science:
- Nephrology
- Oncology
- Radiology
Background:
- Review of three patients with multiple myeloma and acute renal failure.
- Focus on the complication of oliguric acute renal failure.
- Association with intravenous urography procedures.
Observation:
- Two patients developed oliguric acute renal failure post-intravenous urography.
- All three patients received dialysis for renal failure.
- All patients ultimately succumbed to pulmonary infections.
Findings:
- Intravenous urography is a potential trigger for acute renal failure in multiple myeloma.
- Dialysis, while supportive, did not prevent fatal outcomes.
- Pulmonary infection was the terminal cause of death in all cases.
Implications:
- Prevention of acute renal failure is critical in multiple myeloma patients undergoing urography.
- Current treatment modalities for established renal failure may be insufficient to alter mortality.
- Further research into prophylactic strategies for contrast-induced nephropathy is warranted.