Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity

Thrombotic microangiopathy (TMA) describes a pathological process of microvascular thrombosis, consumptive thrombocytopenia, and microangiopathic hemolytic anemia, leading to end-organ ischemia and infarction, affecting particularly the kidney and brain. TMA is a pathological feature of a number of...

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Main Authors: Savneek Chugh MD, Asim Kichloo MD, Firas Jafri MD, Liga Yusvirazi MD, Robert Lerner MD
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709617732797
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author Savneek Chugh MD
Asim Kichloo MD
Firas Jafri MD
Liga Yusvirazi MD
Robert Lerner MD
author_facet Savneek Chugh MD
Asim Kichloo MD
Firas Jafri MD
Liga Yusvirazi MD
Robert Lerner MD
author_sort Savneek Chugh MD
collection DOAJ
description Thrombotic microangiopathy (TMA) describes a pathological process of microvascular thrombosis, consumptive thrombocytopenia, and microangiopathic hemolytic anemia, leading to end-organ ischemia and infarction, affecting particularly the kidney and brain. TMA is a pathological feature of a number of clinical disorders including thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, and atypical hemolytic uremic syndrome. Rare but important, TMA may also occur in malignancy, connective tissue disease, malignant hypertension, and renal transplantation (rejection or drug toxicity). We present a very rare case where the patient developed acute kidney injury from TMA but found to have multiple myeloma as the possible underlying etiology.
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spelling doaj.art-401f7c1341fb4872a749a60272ae1c2b2022-12-22T01:03:16ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962017-09-01510.1177/2324709617732797Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare EntitySavneek Chugh MD0Asim Kichloo MD1Firas Jafri MD2Liga Yusvirazi MD3Robert Lerner MD4New York Medical College, Valhalla, NY, USACentral Michigan University, St Mary’s Hospital, Saginaw, MI, USANew York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USAThrombotic microangiopathy (TMA) describes a pathological process of microvascular thrombosis, consumptive thrombocytopenia, and microangiopathic hemolytic anemia, leading to end-organ ischemia and infarction, affecting particularly the kidney and brain. TMA is a pathological feature of a number of clinical disorders including thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, and atypical hemolytic uremic syndrome. Rare but important, TMA may also occur in malignancy, connective tissue disease, malignant hypertension, and renal transplantation (rejection or drug toxicity). We present a very rare case where the patient developed acute kidney injury from TMA but found to have multiple myeloma as the possible underlying etiology.https://doi.org/10.1177/2324709617732797
spellingShingle Savneek Chugh MD
Asim Kichloo MD
Firas Jafri MD
Liga Yusvirazi MD
Robert Lerner MD
Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
Journal of Investigative Medicine High Impact Case Reports
title Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
title_full Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
title_fullStr Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
title_full_unstemmed Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
title_short Multiple Myeloma as the Underlying Cause of Thrombotic Microangiopathy Leading to Acute Kidney Injury: Revisiting a Very Rare Entity
title_sort multiple myeloma as the underlying cause of thrombotic microangiopathy leading to acute kidney injury revisiting a very rare entity
url https://doi.org/10.1177/2324709617732797
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