PMID- 7699909 OWN - NLM STAT- MEDLINE DCOM- 19950501 LR - 20110727 IS - 0047-1852 (Print) IS - 0047-1852 (Linking) VI - 53 IP - 3 DP - 1995 Mar TI - [Renal failure]. PG - 703-9 AB - Renal failure is a common complication of multiple myeloma, because the kidney is a major target organ for the deposition of paraproteins such as Bence Jones protein (BJP), light chain fragment of monoclonal immunoglobulins, secreted by plasmacytoma. There are three forms of renal involvements related to multiple myeloma. The most common form is cast nephropathy ("myeloma kidney") due to precipitation of BJP combined with Tamm-Horsfall protein in the distal nephron. Other two forms are amyloid nephropathy and light chain deposition disease (LCDD). Renal failure is usually arising from myeloma kidney and is exacerbated by many other factors, for example, concurrently imposed chemical agents. In this manuscript, the mechanism of renal failure mainly due to myeloma kidney and its managements are mainly described. FAU - Arai, T AU - Arai T AD - Third Department of Internal Medicine, Teikyo University School of Medicine. FAU - Matsuzaki, K AU - Matsuzaki K LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Nihon Rinsho JT - Nihon rinsho. Japanese journal of clinical medicine JID - 0420546 SB - IM MH - Humans MH - Multiple Myeloma/*complications MH - Renal Insufficiency/*etiology/therapy RF - 20 EDAT- 1995/03/01 00:00 MHDA- 1995/03/01 00:01 CRDT- 1995/03/01 00:00 PHST- 1995/03/01 00:00 [pubmed] PHST- 1995/03/01 00:01 [medline] PHST- 1995/03/01 00:00 [entrez] PST - ppublish SO - Nihon Rinsho. 1995 Mar;53(3):703-9.