上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2019, Vol. 39 ›› Issue (3): 336-.doi: 10.3969/j.issn.1674-8115.2019.03.021

• 病例报告 • 上一篇    

κ轻链型多发性骨髓瘤合并可逆性后部脑病综合征 1例

黄聪华，高婷，陆晓晔，朱长清   

  1. 上海交通大学医学院附属仁济医院急诊科，上海 200127
  • 出版日期:2019-03-28 发布日期:2019-04-28
  • 作者简介:黄聪华（1986—），男，住院医师，硕士；电子信箱： cong030243@sina.com。
  • 基金资助:
    上海市科学技术委员会科研计划项目 (2015DZ1941307)

A case report: κ light chain multiple myeloma with posterior reversible encephalopathy syndrome

HUANG Cong-hua, GAO Ting, LU Xiao-ye, ZHU Chang-qing   

  1. Emergency Department, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2019-03-28 Published:2019-04-28
  • Supported by:
    Scientific Research Program of Science and Technology Commission of Shanghai Municipality, 2015DZ1941307

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摘要： 多发性骨髓瘤是一种血液系统常见的恶性肿瘤，临床表现以骨质破坏、高钙血症及高黏滞综合征等为主；该疾病病程中出现的电解质紊乱及血压升高等现象可诱发可逆性后部脑病综合征。该文介绍 1例以骨痛就诊的患者，病程中患者多次出现精神状态异常，完善检查后被诊断为 κ轻链型多发性骨髓瘤合并可逆性后部脑病综合征。

关键词: 高钙血症, &, kappa, 轻链, 多发性骨髓瘤, 可逆性后部脑病综合征

Abstract:

Multiple myeloma (MM) is a common malignant tumor of blood system, often manifested as bone destruction, hypercalcemia, and hyperviscosity syndrome. Electrolyte disturbance and hypertension causedMM can induce posterior reversible encephalopathy syndrome (PRES). This case report reviews that a patient with osteodynia had several mental abnormalities, and was diagnosed as having κ light chain MM with PRES after thorough examination.

Key words: hypercalcemia, &, kappa, light chain, multiple myeloma (MM), posterior reversible encephalopathy syndrome (PRES)

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