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Indian Journal of Medical Sciences
Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
ISSN: 0019-5359 EISSN: 0019-5359
Vol. 59, No. 1, 2005, pp. 24-27
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Bioline Code: ms05005
Full paper language: English
Document type: Research Article
Document available free of charge
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Indian Journal of Medical Sciences, Vol. 59, No. 1, 2005, pp. 24-27
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Case Report - Hyperammonemia: An unusual presenting feature of multiple myeloma
Shah AS, Shetty N, Jaiswal S, Mehta BC
Abstract
A 76 year old lady presented with altered sensorium and was found to have hyperammonemia on evaluation. She had no evidence of liver disease. For her symptomatology of backache, evaluation by bone marrow study showed evidence of multiple myeloma. She was given chemotherapy for multiple myeloma, which resulted in improvement in her sensorium, alongwith this there was also a rapid decline in serum ammonia levels. Hyperviscosity and hypercalcemia are common causes of altered sensorium in a patient with myeloma but in this case hyperammonemia was the likely cause.
Keywords
Hypercalcemia, hyperviscosity, sensorium
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© Copyright 2005 Indian Journal of Medical Sciences. Alternative site location: http://www.indianjmedsci.org/
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