Hypertrophic Cardiomyopathy as a Manifestation of Multiple Myeloma

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摘要 Multiplemyeloma(MM)isamalignancyoftheplasmacellcharacterizedbymigrationandlocalizationtothebonemarrowwherecellsthendisseminateandfacilitatetheformationofbonelesions.Itisassociatedwithaconstellationofdiseasemanifestations,apartfromosteolyticlesions,anemiaandimmuno-suppressionduetolossofnormalhematopoieticstemcellfunction,andcardiacamyloidosisduetomonoclonalimmunoglobulinsecretionaswell[1].Amyloidinfiltrationoftheheartmayfrequentlymasqueradeashypertrophiccardiomyopathy(HCM).HCM,ofwhichunderlyingcauseandpathogenesisarelargelyunknown,ischaracterizedbyleftand/orrightventricularhypertrophy,withpredominantinvolvementoftheinterventricularseptumintheabsenceofothercausesofhypertrophy,suchashypertensionorvalvularheartdiseases[2].Whileexcessivehypertrophyofthemyocardiumismostcommonlyassociatedwithmyocytehypertrophy,infiltrationwithamyloidalwaysneedstobeconsidered.Inthisreportwepresentedtwocasesofmultiplemyelomathatmimickedhypertrophiccardiomyopathysocloselythatitrequiredbonemarroworendomyocardialbiopsytoestablishthediagnosis.
机构地区 不详
出版日期 2008年02月12日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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