Aggregated serum free light chains may prevent adequate removal by high cut-off haemodialysis

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Aggregated serum free light chains may prevent adequate removal by high cut-off haemodialysis.

Free light chain (FLC) removal by high cut-off haemodialysis has been described as an adjuvant therapy for the management of patients with severe renal failure complicating multiple myeloma. The two cases reported here are the first patients in whom this treatment did not remove FLCs. In both patient's sera, size-exclusion chromatography identified large FLC aggregates, with molecular weights a...

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High cut-off dialyser haemodialysis in cast nephropathy

Sir, The importance of renal function in the prognosis of patients with multiple myeloma (MM) has been well established and rapid reversal of renal failure may offer the best long-term outcome. The use of extracorporeal means of removing immunoglobulin free light chains (FLCs) responsible for cast nephropathy in patients with MM is controversial. Nephrologists are interested in a treatment stra...

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Quantitation of serum free light chains.

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2011

ISSN: 0931-0509,1460-2385

DOI: 10.1093/ndt/gfr019