多发性骨髓瘤与二次性氨基粉症:作为第一个症状的消化不良:一个病例报告
Bing Xue1, Liang Li2, Shanshan Ma1
1Department of Geriatrics, Zibo Central Hospital of Shandong University, Zibo, Shandong, China.
这种情况突出显示了食障碍是多发性骨髓瘤 (MM) 与二次性粉样化症 (AL) 的初始症状. 及时诊断和治疗导致一个73岁的女性患者的完全缓解.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 多发性骨髓瘤 (MM) 是一种罕见的血细胞疾病.
- 二次性氨基粉症 (AL) 可以导致多器官功能障碍.
- 缺食症是一种不常见的MM与AL的初始呈现.
研究的目的:
- 报告MM的病例与二次AL呈现的食障碍.
- 强调非典型MM表现的诊断挑战.
- 为了说明成功的治疗结果.
主要方法:
- 一名73岁的女性呈现出渐进的消化不良和四肢虚弱.
- 诊断证实了骨髓涂抹,病理学和双肩肌肉病变.
- 治疗包括VCD疗法 (博特佐米布,环胺,德克萨米) 和支持性护理.
主要成果:
- 实现了完全缓解,血液和尿液中M蛋白消极.
- 骨髓血细胞减少到2%,通过流细胞计量减少到0.04%.
- 患者对VCD疗法和综合治疗反应良好.
结论:
- MM呈现出各种不同的临床表现.
- 非典型的外骨髓性症状可能会使诊断复杂化.
- 早期识别和多式疗法对于管理ALMM的MM至关重要.
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