PMID- 22690902 OWN - NLM STAT- MEDLINE DCOM- 20121113 LR - 20151119 IS - 1600-0609 (Electronic) IS - 0902-4441 (Linking) VI - 89 IP - 4 DP - 2012 Oct TI - Bortezomib/dexamethasone followed by autologous stem cell transplantation as front line treatment for light-chain deposition disease. PG - 340-4 LID - 10.1111/j.1600-0609.2012.01821.x [doi] AB - Limited data has been published on the treatment results in patients with light-chain deposition disease (LCDD). Whenever possible, high-dose melphalan followed by autologous stem cell transplantation (ASCT) has been the first treatment option, achieving somehow better results than conventional therapy. However, and based on the promising results obtained by treating patients with light-chain amyloidosis with bortezomib/dexamethasone, new treatment options appear in LCDD. Herein, we describe three patients with LCDD treated with bortezomib/dexamethasone followed by high-dose melphalan and autologous transplantation. We believe that this new approach should be the treatment of choice in this disease. In addition, those patients achieving hematologic complete response after ASCT could benefit from a kidney transplant if the renal impairment requiring dialysis persists. CI - (c) 2012 John Wiley & Sons A/S. FAU - Tovar, Natalia AU - Tovar N AD - Department of Hematology, Amyloidosis and Myeloma Unit, Hospital Clinic, Barcelona, Spain. FAU - Cibeira, Ma Teresa AU - Cibeira MT FAU - Rosinol, Laura AU - Rosinol L FAU - Sole, Manel AU - Sole M FAU - de Larrea, Carlos Fernandez AU - de Larrea CF FAU - Escoda, Lourdes AU - Escoda L FAU - Rovira, Montserrat AU - Rovira M FAU - Blade, Joan AU - Blade J LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120710 PL - England TA - Eur J Haematol JT - European journal of haematology JID - 8703985 RN - 0 (Boronic Acids) RN - 0 (Pyrazines) RN - 69G8BD63PP (Bortezomib) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - Adult MH - Boronic Acids/administration & dosage/*therapeutic use MH - Bortezomib MH - Combined Modality Therapy MH - Dexamethasone/administration & dosage/*therapeutic use MH - Female MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Middle Aged MH - Multiple Myeloma/drug therapy/surgery/*therapy MH - Pyrazines/administration & dosage/*therapeutic use EDAT- 2012/06/14 06:00 MHDA- 2012/11/14 06:00 CRDT- 2012/06/14 06:00 PHST- 2012/06/07 00:00 [accepted] PHST- 2012/06/14 06:00 [entrez] PHST- 2012/06/14 06:00 [pubmed] PHST- 2012/11/14 06:00 [medline] AID - 10.1111/j.1600-0609.2012.01821.x [doi] PST - ppublish SO - Eur J Haematol. 2012 Oct;89(4):340-4. doi: 10.1111/j.1600-0609.2012.01821.x. Epub 2012 Jul 10.