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George Philip,81,Male,Date - 13/10/2009

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Provisional Diagnosis -
Final Diagnosis - ? 1. ? AL-amylodosis
2. Early light chain myloma
History and Findings - k/c/o Syst. HTN/CAD-PTCA to LMCA & LCx on Aug.2008./ Hypothyroidism on Rx. Presented with peripheral neuropathy & Gait imbalance.
Investigation - high ESR, Protein nuria (713 mg./24 hr.), ECG multiple polymorphic VPCs, NCV sensory motor neuropathy, kappa light chain 27.5, lambda N,.8.9 abd. Fat pad biopsy 11/11/09-ve for AL,BM study 18/11/09 N. trilineage maturation. ANA –ve, serum protein EP N.
Treatment -
Follow Up -
Last modified on Tuesday, 03 January 2012 10:42
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