Abstract
Multiple myeloma (MM) is a neoplastic plasma cell dyscrasia identify by anemia, recurrent infections, increased serum and / or monoclonal protein in urine, osteolytic bone lesions, hypercalcemia and renal failure. MM accounts for approximately 1% of all cancer cases and 10% of hematological malignancies MM related renal failure is an important prognostic factor leading to early mortality and ranges from 20-50% depending on the frequency of kidney disease in MM. In the present paper, we report that advanced age, concomitant chronic renal failure with unknown cause and anemia should always bring MM to mind; In these cases, serum and urine immunization electrophoresis should be requested even if serum protein electrophoresis is normal.
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