Citation
Shahar, Shamira and Lim, Christopher Thiam Seong and Mohamad, Haidi and Abd Ghani, Fauzah and Bak, Leong Goh
(2024)
Rare renal manifestation of plasma cell disorder.
Journal of Clinical and Translational Nephrology, 3 (2).
pp. 1-2.
ISSN 2710-5903
Abstract
CASE PRESENTATION: A 56 year old lady presented with 2 weeks history of
nausea, vomiting, and unintentional weight loss, with
reduced eff 01t tolerance. She has underlying type 2
diabetes mellitus, and hype1tension. On examination,
blood pressure was 140 / 80mmhg, pallor conjunctivae,
and other physical examination was normal. Her
investigations showed creatinine of 1214 umol/L, urea
24.3 mmol/L, eGFR of 2 ml/min/1.73m2, albumin 35 g/L,
total protein 71g/L, globulin 34g/L, albumin /globulin
ratio 1.08, haemoglobin 6.8 g/dl, platelet 312x 103/uL,
total white cell 7.97 x 10 9/L, calcium 2.44 mmol/L,
phosphate 2 mmol/L, and e1ythrocyte sedimentation rate
(ESR) 100 mm/hr. Urine microscopy shows 1 + protein,
no REC presence and urine protein creatinine index of
12.9g/day. Immunology screening revealed nonnal ANA,
C3, C4, and ANCA. Kidney ultrasound shows a left
kidney size of 10.3cm, and right kidney of 11.7cm with
preserved cmticomedullary differentiation bilaterally.
She was initially diagnosed with ESKD, and long-tenn
kidney replacement therapy was planned for her.
Download File
Additional Metadata
Actions (login required)
 |
View Item |
![[img]](http://psasir.upm.edu.my/style/images/fileicons/text.png)