Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Hyperlipidemia Associated with Multiple Myeloma
Keiichi FUKUDOMEJohji KATOTsuyosi OHASHIYoshitaka YAMAMOTOTanenao ETO
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1996 Volume 35 Issue 4 Pages 337-340


A 70-year-old woman with type lib therapy-refractory hyperlipidemia was diagnosed as having IgA kappa type multiple myeloma. She had neither a family history nor any other disease known to accompany hyperlipidemia. The serum IgA concentration fell from 3.42 g/dl to 1.24 g/dl following chemotherapy with melphalan and prednisolone, and a concomitant decrease in both the serum cholesterol and triglyceride levels was observed. These serum lipids were positively correlated with the serum IgA concentration (p<0.001) during the three cycles of chemotherapy. These findings suggest the involvement of the monoclonal protein of IgA in the development of hyperlipidemia in the present case.
(Internal Medicine 35: 337-340, 1996)

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