抄録
An autopsied case of IgD myeloma is reported. The patient was a 56-year-old female, who was treated with corticosteroids, cyclophosphamide, blood transfusions. for 2 years. She died on Aug. 8, 1967. from progressive renal failure with recurring bronchitis. Postmortem examination disclosed plasmacytoma involving the cranium, vertebral bodies and ribs etc., and “myeloma kidney.”
Serum total protein was 6.2 g/dl, and γ-globulin 39.3%. In spite of the low serum levels of IgG, IgA and IgM, the level of serum IgD was elevated (5.3 mg/ml). Paraprotein in urine was BJP (λ chain, type L). M-component in serum was IgD (light chain type L).
Some discussions were made on the cases of IgD myeloma in the literature. In this case, however, there was no clinical or morphological characteristic of IgD myeloma.
