Vol 46, No 1 (2015)
Kazuistyka / Case Report
Published online: 2015-01-01
Delayed recovery of kidney function in a multiple myeloma patient treated with high cut-off hemodialysis: A case report
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.
Keywords: Cast nephropathyMultiple myelomaHigh cut-off hemodialysisKidney injury