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- W2389103438 abstract "서 론단클론성감마병증(monoclonalgammopathy)은parap-roteinemia또는dysproteinemia라고한다.이질환군이단클론성단백질을생산하여신장질환을유발하는것은잘알려진사실이다.이질환군에서조기진단이중요한이유는발생초기에진단하여치료를시행하면비가역적인신손상을줄여주어환자의예후를향상시키기때문이다.‘이달의신장병’에서는최근에경험한급성신장손상을동반한다발성골수종의증례를소개하고,최근에사용하고있는선별검사법들의특징과장단점을비교하겠다.증 례60세여자환자가오심과식욕부진,전신쇠약감을주소로내원하였다.환자는5년전부터정기적으로건강검진을받았다.6개월전시행한건강검진에서는빈혈외에는혈액검사및요검사에서이상소견은없었다.빈혈의원인을찾는검사는시행하지않았다.내원3개월전에요통이발생하여정형외과에서염좌로진단받고진통제를복용하였다.내월2개월전부터오심과식욕부진이발생하였고,그정도가점점심해져병원을방문하였다.과거력은특이사항이없었다.음주,흡연은하지않았다.정형외과에서처방받은약제는meloxicam,ultracet,itopride이었다.환자는2개월사이에6kg의체중감소가있다고하였고거" @default.
- W2389103438 created "2016-06-24" @default.
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- W2389103438 date "2010-01-01" @default.
- W2389103438 modified "2023-09-24" @default.
- W2389103438 title "Monoclonal Gammopathy and Kidney Disease" @default.
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