[A Case of Primary @entity356 with Fulminant XXXX ].

@entity1 @entity644 @entity296 @entity712 @entity417 @entity527 @entity1353 @entity1819 @entity33 @entity425 @entity519 @entity194 @entity715 @entity356
A 53-year-old @entity1 was admitted with epigastric discomfort and @entity425 . Laboratory examination at admission showed mild @entity417 and @entity644 . Esophagogastroduodenoscopy revealed marked @entity194 , diffuse nodularity and granular appearance with @entity33 . Biopsy was performed on the antrum and body of the stomach. On the next day, the @entity1 began to complain of severe @entity1353 , and @entity519 was present on pulse oximetry. Therefore, emergency echocardiography was conducted and it showed @entity296 along with @entity715 in the left atrium. With time, @entity712 was aggravated despite intensive management. The result of gastric biopsy revealed @entity527 which stained positively with Congo red. On immunohistochemistry study, kappa and lambda chain were present. In addition, kappa chain was significantly elevated in urine and serum on electrophoresis. Although the @entity1 was finally diagnosed as having primary @entity356 with @entity296 , her general condition rapidly deteriorated and died at 12th hospital day. When obscure @entity1819 is encountered, performing gastric biopsy is strongly recommended since it be primary @entity356 . Herein, we present an unusual case of primary @entity356 .
