Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome

Background. Autoimmune/inflammatory syndrome induced by adjuvants is a disease associated with an unregulated hyperactivity of the immune system and may also be associated with a high frequency of hematologic malignancies. Report. This is a case of a female with ASIA-MO syndrome secondary to infiltr...

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Main Authors: David Alejandro Vargas Gutiérrez, Karina Ivonne Arias Callejas, Edwin Pavel Palacios Ruiz, Priscila Joseline Pérez Vinueza, Juan Diego Muñoz Vega, Ana Karen G. Mejía Geraldo, Ingrid Salinas Zaldívar
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2022/8571536
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author David Alejandro Vargas Gutiérrez
Karina Ivonne Arias Callejas
Edwin Pavel Palacios Ruiz
Priscila Joseline Pérez Vinueza
Juan Diego Muñoz Vega
Ana Karen G. Mejía Geraldo
Ingrid Salinas Zaldívar
author_facet David Alejandro Vargas Gutiérrez
Karina Ivonne Arias Callejas
Edwin Pavel Palacios Ruiz
Priscila Joseline Pérez Vinueza
Juan Diego Muñoz Vega
Ana Karen G. Mejía Geraldo
Ingrid Salinas Zaldívar
author_sort David Alejandro Vargas Gutiérrez
collection DOAJ
description Background. Autoimmune/inflammatory syndrome induced by adjuvants is a disease associated with an unregulated hyperactivity of the immune system and may also be associated with a high frequency of hematologic malignancies. Report. This is a case of a female with ASIA-MO syndrome secondary to infiltration of mineral oil for aesthetic purposes and presented with multiple episodes of urolithiasis resulting in renal impairment of her left kidney confirmed by scintigraphy and ending in unilateral nephrectomy. Retrospective renal piece analysis confirmed tubulointerstitial infiltration with light chains and plasma cells. Paraffin fixation prevented subsequent immunofluorescence analysis for better follow-up of the patient. Conclusion. The presence of positive immunofixation kappa chains explained the sudden deterioration of renal function with monoclonal gammopathy of renal significance which concluded in an association between diseases, such as multiple light chain myeloma, as a final diagnosis.
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issn 2090-6579
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-cf5a6167b54b48ca9672b1e49ee5f8422025-02-03T05:53:39ZengWileyCase Reports in Hematology2090-65792022-01-01202210.1155/2022/8571536Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO SyndromeDavid Alejandro Vargas Gutiérrez0Karina Ivonne Arias Callejas1Edwin Pavel Palacios Ruiz2Priscila Joseline Pérez Vinueza3Juan Diego Muñoz Vega4Ana Karen G. Mejía Geraldo5Ingrid Salinas Zaldívar6Department of RheumatologyDepartment of RheumatologyDepartment of Internal MedicineDepartment of RheumatologyDepartment of HematologyDepartment of Pathological AnatomyDepartment of Internal MedicineBackground. Autoimmune/inflammatory syndrome induced by adjuvants is a disease associated with an unregulated hyperactivity of the immune system and may also be associated with a high frequency of hematologic malignancies. Report. This is a case of a female with ASIA-MO syndrome secondary to infiltration of mineral oil for aesthetic purposes and presented with multiple episodes of urolithiasis resulting in renal impairment of her left kidney confirmed by scintigraphy and ending in unilateral nephrectomy. Retrospective renal piece analysis confirmed tubulointerstitial infiltration with light chains and plasma cells. Paraffin fixation prevented subsequent immunofluorescence analysis for better follow-up of the patient. Conclusion. The presence of positive immunofixation kappa chains explained the sudden deterioration of renal function with monoclonal gammopathy of renal significance which concluded in an association between diseases, such as multiple light chain myeloma, as a final diagnosis.http://dx.doi.org/10.1155/2022/8571536
spellingShingle David Alejandro Vargas Gutiérrez
Karina Ivonne Arias Callejas
Edwin Pavel Palacios Ruiz
Priscila Joseline Pérez Vinueza
Juan Diego Muñoz Vega
Ana Karen G. Mejía Geraldo
Ingrid Salinas Zaldívar
Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
Case Reports in Hematology
title Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
title_full Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
title_fullStr Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
title_full_unstemmed Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
title_short Monoclonal Gammopathy of Renal Significance with Progression to Multiple Myeloma in a Patient with ASIA-MO Syndrome
title_sort monoclonal gammopathy of renal significance with progression to multiple myeloma in a patient with asia mo syndrome
url http://dx.doi.org/10.1155/2022/8571536
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