A Case Report of Rare Presentation of Multiple Myeloma: A Case of Hepatic Amyloidosis
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Abstract
It is uncommon for multiple myeloma (MM) to have liver involvement in a clinically documented occurrence. Approximately 15 % of MM patients have been observed to have amyloidosis, which is characterised as the clonal light-chain fibrils deposition in tissue. We documented a unique case of MM with a primary biliary system involvement and fulminant liver failure due to amyloidosis.Ascites, hepatosplenomegaly, anaemia, and hyperbilirubinemia were the patient's initial symptoms. , Thalidomide, dexamethasone , Bortezomib were used in the conventional chemotherapy regimen, and this produced a striking response. Light chain amyloidosis-related liver damage may be the first blatant manifestation of MM. When patients exhibit vague symptoms and abnormal liver function tests, infiltrative illnesses including MM and amyloidosis should be taken into account. The prognosis of patients can be directly impacted by an accurate and prompt diagnosis. There is ongoing discussion over the best strategy for handling typical situations comparable to these.
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