scholarly journals Diffuse Normolipemic Plane Xanthomatosis with Immunoglobulin-Lambda Light-Chain Deposition in a Patient with Multiple Myeloma

2019 ◽  
Vol 31 (2) ◽  
pp. 238
Author(s):  
Sul Hee Lee ◽  
Ji Yeoun Shin ◽  
Sang-Hoon Lee ◽  
Young Lip Park
2016 ◽  
Vol 25 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Benoit Brilland ◽  
Johnny Sayegh ◽  
Anne Croue ◽  
Frank Bridoux ◽  
Jean-François Subra ◽  
...  

Light chain deposition disease (LCDD) is a rare multisystemic disorder associated with plasma cell proliferation. It mainly affects the kidney, but liver and heart involvement may occur, sometimes mimicking the picture of systemic amyloidosis. Liver disease in LCDD is usually asymptomatic and exceptionally manifests with severe cholestatic hepatitis. We report the case of a 66-year-old female with κ-LCDD and cast nephropathy in the setting of symptomatic multiple myeloma who, after a first cycle of bortezomib-dexamethasone chemotherapy, developed severe and rapidly worsening intrahepatic cholestasis secondary to liver κ-light chain deposition. Intrahepatic cholestasis was attributed to LCDD on the basis of the liver histology and exclusion of possible diagnoses. Chemotherapy was maintained and resulted in progressive resolution of cholestasis. We report here an uncommon presentation of LCDD, with prominent liver involvement that fully recovered with bortezomib-based chemotherapy, and briefly review the relevant literature. Abbreviations: AKI: Acute kidney injury; ALP: alkaline phosphatase; ALT: alanine aminotransferase; AST: aspartate aminotransferase; CMV: Cytomegalovirus; EBV: Epstein–Barr virus; GGT: gamma-glutamyl transferase; HSV: Herpes simplex virus; LC: light chain; LCDD: Light chain deposition disease; MIDD: Monoclonal immunoglobulin deposition disease; MM: Multiple myeloma.


BMJ ◽  
1981 ◽  
Vol 282 (6265) ◽  
pp. 681-683 ◽  
Author(s):  
D Ganeval ◽  
L H Noel ◽  
D Droz ◽  
J Leibowitch

2017 ◽  
Vol 92 (8) ◽  
pp. 739-745 ◽  
Author(s):  
Meera Mohan ◽  
Amy Buros ◽  
Pankaj Mathur ◽  
Neriman Gokden ◽  
Manisha Singh ◽  
...  

1986 ◽  
Vol 10 (10) ◽  
pp. 1065-1076 ◽  
Author(s):  
C.J. KIRKPATRICK ◽  
A. CURRY ◽  
J. GALLE ◽  
I. MELZNER

1999 ◽  
Vol 104 (5) ◽  
pp. 361-369 ◽  
Author(s):  
Marie-Paule Lefranc ◽  
Nathalie Pallarès ◽  
Jean-Pol Frippiat

1997 ◽  
Vol 40 (3) ◽  
pp. 587-588 ◽  
Author(s):  
Mohamed A. Hamidou ◽  
Christelle Gires ◽  
Anne Moreau ◽  
Stéphane Martin ◽  
Françoise Buzelin ◽  
...  

1998 ◽  
Vol 35 (6) ◽  
pp. 477-481
Author(s):  
Kent Doi ◽  
Shinji Teramoto ◽  
Takayuki Hosoi ◽  
Mariko Miyao ◽  
Takeshi Matsuse ◽  
...  

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