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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/4195

Title: HYPERAMMONEMIA: AN UNUSUAL PRESENTING FEATURE OF MULTIPLE MYELOMA
Authors: Shah, A. S.
Shetty, N.
Jaiswal, S.
Mehta, B. C.
Keywords: Medicine
Health
Hypercalcemia, hyperviscosity, sensorium ms05005
Issue Date: Jan-2005
Publisher: Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
Citation: Indian Journal of Medical Sciences 59(1)
Abstract: A 76 year old lady presented with altered sensorium and was found to have hyperammonemia on evaluation. She had no evidence of liver disease. For her symptomatology of backache, evaluation by bone marrow study showed evidence of multiple myeloma. She was given chemotherapy for multiple myeloma, which resulted in improvement in her sensorium, alongwith this there was also a rapid decline in serum ammonia levels. Hyperviscosity and hypercalcemia are common causes of altered sensorium in a patient with myeloma but in this case hyperammonemia was the likely cause.
URI: http://bioline.utsc.utoronto.ca/archive/00003082/01/ms05005.pdf
http://hdl.handle.net/1807/4195
Other Identifiers: http://bioline.utsc.utoronto.ca/archive/00003082/
Appears in Collections:Bioline International Legacy Collection

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