PMID- 3135702 OWN - NLM STAT- MEDLINE DCOM- 19880908 LR - 20190903 IS - 0001-6632 (Print) IS - 0001-6632 (Linking) VI - 38 IP - 4 DP - 1988 Apr TI - An autopsy case of diffuse myelomatosis associated with systemic kappa light chain deposition disease (LCDD). A patho-anatomical, immunohistochemical and immunobiochemical study. PG - 479-88 AB - A case of systemic light chain deposition disease in a 48-year-old man is presented. Clinically, the patient showed the signs of multiple organ (liver, heart and kidney) failure, but multiple myeloma was not diagnosed. Autopsy revealed generalized deposition of hyaline, a Congo red-negative substance, especially in the arterial walls of various organs. In the bone marrow, myelomatous proliferations of plasma cells positive for kappa light chain were recognized. The deposited substance was ultrastructurally different from amyloid fibrils, and was identified as kappa light chain by immunohistochemistry. A liver tissue extract was immunobiochemically examined and the deposited substance was confirmed to consist of kappa light chain, its molecular weight being approximately 14,000 to 17,000 Da. FAU - Toyoda, M AU - Toyoda M AD - Department of Pathology, Tokyo Women's Medical College, Japan. FAU - Kajita, A AU - Kajita A FAU - Kita, S AU - Kita S FAU - Osamura, Y AU - Osamura Y FAU - Shinoda, T AU - Shinoda T LA - eng PT - Case Reports PT - Journal Article PL - Australia TA - Acta Pathol Jpn JT - Acta pathologica japonica JID - 0372637 RN - 0 (Immunoglobulin Light Chains) SB - IM MH - Autopsy MH - Bile Ducts/analysis/pathology MH - Bone Marrow/analysis/pathology MH - Humans MH - Hypergammaglobulinemia/diagnosis/*pathology MH - Immunoenzyme Techniques MH - Immunoglobulin Light Chains/*analysis MH - Kidney/analysis/pathology MH - Male MH - Middle Aged MH - Multiple Myeloma/diagnosis/*pathology MH - Myocardium/analysis/pathology MH - Spleen/analysis/pathology EDAT- 1988/04/01 00:00 MHDA- 1988/04/01 00:01 CRDT- 1988/04/01 00:00 PHST- 1988/04/01 00:00 [pubmed] PHST- 1988/04/01 00:01 [medline] PHST- 1988/04/01 00:00 [entrez] AID - 10.1111/j.1440-1827.1988.tb02321.x [doi] PST - ppublish SO - Acta Pathol Jpn. 1988 Apr;38(4):479-88. doi: 10.1111/j.1440-1827.1988.tb02321.x.