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01121 Journal of Nara Medical Association >
Vol.45 No.2 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/1705

Title: Bence Jones型形質細胞性白血病
Authors: 森田, 博
山本, 和正
辻之上, 裕久
白井, 美喜子
梅木, 健一
七川, 歓次
中谷, 敏也
山田, 全啓
福井, 博
辻井, 正
Keywords: multiple myeloma
plasma cell leukemia
Bence Jones protein
β₂ microglobulin
Issue Date: 30-Apr-1994
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.45 No.2 p.138-141
Abstract: A 77-year-old man was admitted because of lumbago in 1989. Erythrocyte sedimentation rate was 75 mm/hour, hemoglobin 8.0 g/dl, white cell counts 2,400/mm³ without plasma cells, platelet counts 5.0×10⁴/mm³. Bence Jones proteinuria was demonstrated. Roentgenogram of skeleton revealed diffuse osteoporosis with oppression fractures of the thoratic and lumbar vertebrae. Immunoelectrophoresis revealed monoclonal Bence Jones (κ) M bow. Bone marrow smears showed 15.0% large and immature plasma cells. A diagnosis of multiple myeloma (Bence Jones κ) was made. During the next 28 days, leucocyte counts increased to 8,900/mm³ and plasma cell counts to 24.5%(2,181/mm³, respectively. A diagnosis of plasma cell leukemia was made. Plasma cells were proved in pleural effusions. Serum β₂ microglobulin increased to 18.4 μg/ml. In spite of administration of alkeran and prednisolone, he died of pneumonia one month after the onset of plasma cell leukemia.
URI: http://hdl.handle.net/10564/1705
ISSN: 04695550
Appears in Collections:Vol.45 No.2

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