A referral from the haematology ward

You are asked to see a 68 year old woman on the haematology ward of a teaching hospital.  From the notes you learn that she has multiple myeloma with IgG lambda paraprotein.  Serum creatinine at the time of diagnosis was 155╬╝mol/l and there was 13g/24h of proteinuria.  Initial treatment was with bortezomib (Velcade), doxorubicin and Read More …