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)9.27.59.29.87.98.7
WBC (×109/L)2.431.372.192.633.072.37
Platelets (×109/L)12811977341442
Schistocytes (/1000 RBC)<34–7<3<540–50<5
Haptoglobin (g/L)<0.13.081.33<0.10.9
LDH (U/L)156218102468419237
Creatinine (mg/dL)1.352.652.043.007.492.89
Ureum (mg/dL)3970338014797
Proteinuria (g/24 h)1.20.61.521.372.690.6
Hematuria (RBC/µL)2582079661HematuriaHematuria
Pyuria (WBC/µL)14243564
IgG (g/L)88.224.31610.7

BTZ: bortezomib; w: weeks; m: months; —: not available.