Rare renal manifestation of plasma cell disorder
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Society of Nephrology
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/119071/ http://psasir.upm.edu.my/id/eprint/119071/1/119071.pdf |
| _version_ | 1848867865060442112 |
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| author | Shahar, Shamira Lim, Christopher Thiam Seong Mohamad, Haidi Abd Ghani, Fauzah Bak, Leong Goh |
| author_facet | Shahar, Shamira Lim, Christopher Thiam Seong Mohamad, Haidi Abd Ghani, Fauzah Bak, Leong Goh |
| author_sort | Shahar, Shamira |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T14:43:17Z |
| format | Article |
| id | upm-119071 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:43:17Z |
| publishDate | 2024 |
| publisher | Malaysian Society of Nephrology |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1190712025-08-05T09:30:31Z http://psasir.upm.edu.my/id/eprint/119071/ Rare renal manifestation of plasma cell disorder Shahar, Shamira Lim, Christopher Thiam Seong Mohamad, Haidi Abd Ghani, Fauzah Bak, Leong Goh 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. Malaysian Society of Nephrology 2024-09-01 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/119071/1/119071.pdf 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 https://www.jctn.msn.org.my/index.php/ejournal/article/view/81 |
| spellingShingle | Shahar, Shamira Lim, Christopher Thiam Seong Mohamad, Haidi Abd Ghani, Fauzah Bak, Leong Goh Rare renal manifestation of plasma cell disorder |
| title | Rare renal manifestation of plasma cell disorder |
| title_full | Rare renal manifestation of plasma cell disorder |
| title_fullStr | Rare renal manifestation of plasma cell disorder |
| title_full_unstemmed | Rare renal manifestation of plasma cell disorder |
| title_short | Rare renal manifestation of plasma cell disorder |
| title_sort | rare renal manifestation of plasma cell disorder |
| url | http://psasir.upm.edu.my/id/eprint/119071/ http://psasir.upm.edu.my/id/eprint/119071/ http://psasir.upm.edu.my/id/eprint/119071/1/119071.pdf |