@entity1582 --presenting as XXXX .

@entity1 @entity644 @entity8 @entity417 @entity2741 @entity2783 @entity631 @entity1986 @entity1582 @entity177 @entity79 @entity281 @entity1583 @entity810 @entity158 @entity1011 @entity8450
BACKGROUND: @entity1582 ( @entity1582 ) is a commonly encountered @entity1583 with significant renal involvement and often presents as @entity177 . The aim of the present study is to analyze clinical spectrum of @entity810 ( @entity810 ) in @entity1 with @entity1582 . MATERIAL AND METHODS: We analyzed 26 (males 24; females 2) @entity1 of @entity1582 who were referred for evaluation of @entity810 between July 1994 - June 2007. The referral diagnosis did not include @entity1582 in majority 23 (88%) of the @entity1 . @entity1582 was diagnosed by at least two of the four features; (1) @entity79 , (2) serum or urine monoclonal peak, (3) Bence Jones @entity644 and (4) more than 20% plama cells in marrow aspirate. RESULTS: @entity1582 contributes 1.93% of total @entity810 cases (26/1342) over a period of thirteen years. Mean age of @entity1 was 59.3 +/- 7.4 years. The clinical manifestations of @entity1582 included; @entity417 (100%), Bence Jones @entity644 (80%), "M" peak in serum electrophoresis (69%), @entity79 (62%), "M" peak in urine electrophoresis (54%), @entity158 (58%), @entity8450 cells more than 20% in bone marrow aspirate (38%). Oliguric @entity810 was seen in 73% @entity1 . The precipitating factors of @entity810 identified were; @entity2741 (31%); @entity281 (23%); volume depletion (19%); and NSAIDs in (15%). Dialysis support was needed in 77% of the @entity1 because of severe @entity177 at presentation with mean serum @entity1011 of 9.05 +/- 2.84 mg%. Seventeen @entity1 completed chemotherapy, seven last to follow up and two @entity1 died. Ten (38.5%) @entity1 had complete recovery of renal function; three @entity1 had partial recovery and off dialysis and four @entity1 remained dialysis dependent. Remission of @entity1582 was achieved in nine of seventeen @entity1 treated with chemotherapy Renal biopsy finding in nine @entity1 revealed-cast @entity8 in (4), @entity2783 in (3), proliferative @entity631 in (1) and cast @entity8 with chronic @entity1986 and @entity8450 cell infiltration in one @entity1 . CONCLUSION: Acute reversible @entity177 is a common complication in @entity1582 , @entity1582 should be considered as cause a cause of unexplained @entity810 in middle aged and elderly @entity1 .
