Case Report
Renal Thrombotic Microangiopathy Associated with the Use of Bortezomib in a Patient with Multiple Myeloma
Table 1
Laboratory values.
| | = 0 (Start BTZ) | = +3 w (Time of renal biopsy) | = +4 m (1 m after stop of BTZ) | = +18 m (Rechallenge BTZ) | = +19 m (Start dialysis) | = +22 m (After stop of dialysis) |
| Hb (g/dL) | 9.2 | 7.5 | 9.2 | 9.8 | 7.9 | 8.7 | WBC (×109/L) | 2.43 | 1.37 | 2.19 | 2.63 | 3.07 | 2.37 | Platelets (×109/L) | 128 | 119 | 77 | 34 | 14 | 42 | Schistocytes (/1000 RBC) | <3 | 4–7 | <3 | <5 | 40–50 | <5 | Haptoglobin (g/L) | — | <0.1 | 3.08 | 1.33 | <0.1 | 0.9 | LDH (U/L) | 156 | 218 | 102 | 468 | 419 | 237 | Creatinine (mg/dL) | 1.35 | 2.65 | 2.04 | 3.00 | 7.49 | 2.89 | Ureum (mg/dL) | 39 | 70 | 33 | 80 | 147 | 97 | Proteinuria (g/24 h) | 1.2 | 0.6 | 1.52 | 1.37 | 2.69 | 0.6 | Hematuria (RBC/µL) | 258 | 2079 | 661 | — | Hematuria | Hematuria | Pyuria (WBC/µL) | 14 | 24 | 3 | — | 56 | 4 | IgG (g/L) | 88.2 | — | 24.3 | 16 | 10.7 | — |
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BTZ: bortezomib; w: weeks; m: months; —: not available.
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