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Case Reports
. 2015 Feb;36(2):239-42.
doi: 10.15537/smj.2015.2.10205.

Type-B lactic acidosis associated with progressive multiple myeloma

Sameer Y Abdullah  1 , Moaath K Ali, Marwa M Sabha
Affiliations
Case Reports

Type-B lactic acidosis associated with progressive multiple myeloma

Sameer Y Abdullah et al. Saudi Med J. 2015 Feb.

Abstract

We report a 64-year-old lady with stage II, Immunoglobulin-G lambda multiple myeloma (MM) (standard risk), who presented with type-B lactic acidosis (LA), and multi-organ dysfunction associating myeloma progression, and ending in imminent death. In the context of literature review of all previously reported similar cases, this report highlights and discusses the association of type-B LA and MM (especially progressive disease), and also emphasizes the poor outcome. Early recognition of this condition with intensive supportive care, and treatment of multiple myeloma may improve outcomes.

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Figures

Figure 1
Figure 1
Axial cut from non-contrasted pelvic CT scan (soft tissue window) showing a large destructive right iliac bone lesion with associated soft tissue mass (white arrow). There is also another destructive lesion with soft tissue component in the left iliac bone.
See this image and copyright information in PMC

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