Vol 46, No 1 (2015)
Kazuistyka / Case Report
Published online: 2015-01-01

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Delayed recovery of kidney function in a multiple myeloma patient treated with high cut-off hemodialysis: A case report

Katarzyna Kakareko, Alicja Rydzewska-Rosolowska1, Tomasz Hryszko1, Beata Naumnik1
DOI: 10.1016/j.achaem.2014.12.003
Acta Haematol Pol 2015;46(1):61-64.

Abstract

We present a case of a 68-year-old woman with dialysis dependent acute kidney injury secondary to multiple myeloma. The treatment consisted of plasma exchange, 10 sessions of high-cut-off hemodialysis and induction chemotherapy. Free light chain concentration (FLC) was reduced from 1900mg/l to 584mg/l (a 70% reduction). Recovery of kidney function was observed 3 months after hospital admission and discontinuation of dialysis was possible. The case is quite unusual because of the delay in renal recovery.

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