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The First Report of Myeloma with IgD κ and Free K in Indonesia

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IgD κ myeloma is a rare plasma cell neoplasm case and has never been reported before in Indonesia. In normal condition, IgD level in blood is very low, therefore increase of IgD level in myeloma could be missed by serum protein electrophoresis. A case of a 59 years old female with severe bone pain is reported. In radiology evaluation, there were thoracal compression fracture and thoracal foramen narrowing. For this patient, the myeloma diagnosis was based on WHO criteria, the stage IIIb was based on Durie and Salmon criteria, and bad prognosis with prognostic index stage III diagnosis was based on International Prognostic Index from International Myeloma Working Group, respectively. In serum protein electrophoresis we found a very small monoclonal spike and in immunofi xation there were monoclonal IgD κ and free light chain κ.

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Series Title

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Call Number

medical journal of indonesia, 20 (3) 2011 : 217-22

Publisher

Jakarta : faculty of medicine, universitas indonesia., 2011

Collation

5p

Language

ISBN/ISSN

0853-1773

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Edition

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Subject(s)

MUTIPLE MYELOMA
ELECTROPHORESIS
Immunoglobulin D

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