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  In March 2005, a 55-year-old woman was referred to our hospitalfor sudden onset of diffuse oedema. Her past medical historywas remarkable for an IgM-monoclonal gammapathy of unknown significance,diagnosed in December 2004. On admission, she complained of abdominal pain; physical examinationshowed diffuse oedema with a weight gain of 4 kg. Blood testsrevealed normocytic anaemia (haemoglobin 9.5 g/dl) with normalwhite blood cell (5.2 x 109/l)

Serum monoclonal component and nephrotic syndrome--it is not always amyloidosis. Diagnosis: WM complicated by retroperitoneal and renal infiltration and associated with a minimal change disease.
Authors:Benjamin Terrier  Agnès Buzyn  Aurélie Hummel  Benjamin Deroure  Guillaume Bollée  Mathieu Jablonski  Natacha Patey Mariaud de Serre  Laure-Hélène No?l  Fadi Fakhouri
Affiliation:Department of Nephrology, H?pital Necker-Enfants Malades, 149-161 rue de Sèvres, 75743 Paris cedex 15, France.
Abstract:  Case
Keywords:minimal change disease   nephrotic syndrome   Waldenströ  m's macroglobulinaemia
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