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多发性骨髓瘤(Multiple Myeloma MM)是骨髓中浆细胞恶性增生性疾病,由于瘤细胞浸润程度不同,所产生的免疫球蛋白的量也不同,使临床表现多样化,特别是在疾病早期,极易造成漏诊和误诊,现将我院自1990年至今收治3例报道如下1、临床资料1·1 误诊为肾炎 例1:女,59岁。1990年2月因尿少伴双下肢浮肿,曾在我院检查,尿蛋白(),尿潜血(),经休息及口服中药治疗,尿蛋白持续在(艹)—()之间,并伴有头晕,活动后心悸气短,又以“慢性肾小球肾炎”于1991年2月再次住院。入院后查尿蛋白()、潜血
Multiple myeloma (MM) is a malignant proliferative disorder of plasma cells in the bone marrow. Due to the different degree of tumor cell infiltration, the amount of immunoglobulin produced is also different, which diversifies the clinical manifestations, especially in the early stage of the disease. It is easy to cause misdiagnosis and misdiagnosis. Now we have 3 cases reported in our hospital since 1990. 1. Clinical data 1. 1 misdiagnosed as nephritis. Case 1: Female, 59 years old. In February 1990, due to urinary urinary accompanied by lower extremity edema, he had been examined in our hospital. Urinary protein (), urine occult blood (), after rest and oral Chinese medicine treatment, urinary protein remained between () - (), with He was dizzy, his heart was short of breath after the activity, and he was hospitalized again in February 1991 with “chronic glomerulonephritis.” Check urinary protein after admission (), occult blood