Successful kidney transplantation in a patient with stable multiple myeloma.
end-stage kidney disease
immunosuppression
kidney transplantation
multiple myeloma
plasma cell dyscrasias
renal insufficiency
Journal
Internal medicine journal
ISSN: 1445-5994
Titre abrégé: Intern Med J
Pays: Australia
ID NLM: 101092952
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
15
05
2019
revised:
04
08
2019
accepted:
11
08
2019
entrez:
10
4
2020
pubmed:
10
4
2020
medline:
11
3
2021
Statut:
ppublish
Résumé
Renal failure is a common feature of multiple myeloma affecting 20-55% of patients at the initial presentation and is being associated with a significant increase in morbidity and mortality. Renal transplantation for patients with multiple myeloma is rarely considered given the incurable nature of the disease, the risk of post-transplant disease progression and perceived high risk of infections. Here we report a 57-year-old man with end-stage renal failure attributed to presumed IgA nephropathy, with pre-existing stable multiple myeloma, who received a kidney transplant from a two haplotype-matched sibling. Transplantation has been successful and with excellent kidney function and stable multiple myeloma 6 years post-transplant. This case highlights the potential benefits of renal transplantation in highly selected patients with multiple myeloma.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
492-494Informations de copyright
© 2020 Royal Australasian College of Physicians.