κ轻链型多发性骨髓瘤合并可逆性后部脑病综合征1例

A case report: κ light chain multiple myeloma with posterior reversible encephalopathy syndrome

多发性骨髓瘤是一种血液系统常见的恶性肿瘤,临床表现以骨质破坏、高钙血症及高黏滞综合征等为主;该疾病病程中出现的电解质紊乱及血压升高等现象可诱发可逆性后部脑病综合征。该文介绍1例以骨痛就诊的患者,病程中患者多次出现精神状态异常,完善检查后被诊断为κ轻链型多发性骨髓瘤合并可逆性后部脑病综合征。

Multiple myeloma (MM) is a common malignant tumor of blood system, often manifested as bone destruction, hypercalcemia, and hyperviscosity syndrome. Electrolyte disturbance and hypertension caused by MM can induce posterior reversible encephalopathy syndrome (PRES). This case report reviews that a patient with osteodynia had several mental abnormalities, and was diagnosed as having κ light chain MM with PRES after thorough examination.