Multiple myeloma is a malignant plasma cell disorder that affects the
kidney withvarious clinical
presentations. The most common renal manifestation of multiple myeloma
is myeloma cast nephropathy. We are describing a young patient with multiple myeloma presented with back pain, anemia and
renal impairment. The renal biopsy showed a myeloma cast nephropathy. She was treated with
myeloma chemotherapy, high cut-off
hemodialysis and autologous hematopoietic stem cell transplantation with good outcome. We report this rare
case of multiple myeloma presented
with myeloma cast nephropathy (MCN) in a young patient to describe the evidence of light chain removal strategies including plasmapheresis and high
cut-off hemodialysis for the management of myeloma cast nephropathy.
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