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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1992-2-6
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pubmed:abstractText |
A 58-year-old female was admitted to our hospital because of anemia in March 1987. Monoclonal protein (IgA, kappa) was detected and a diagnosis of multiple myeloma was made. Partial remission was obtained after VAD therapy with alpha-interferon. In December 1989, she was readmitted because of a pathological fracture of the left humerus. A white blood cell count was 4400/microliters with 30% myeloma cells and the urine protein (Bence Jones protein) was 26 g/day. Systemic chemotherapy was not effective. She developed pleural and pericardial effusions, bone mass, disturbance of consciousness and died of respiratory failure only 3 months after readmission. The pleural and pericardial fluids contained many myeloma cells. c-myc gene rearrangement was detected in myeloma cells obtained from the pleural fluid using c-myc exon1 and exon2 probes. The levels of interleukin-6 (IL-6) measured by ELISA was 107.4 pg/ml in serum, 56.2 pg/ml in pleural fluid and 780.0 pg/ml in pericardial fluid. Because of the lack of any overt infectious focus, the level of IL-6 appears to have been related to aggressive proliferation of myeloma cells. It was of interest that C-reactive protein, induced by IL-6, was a good marker reflecting disease activity.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
|
pubmed:issn |
0485-1439
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
32
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pubmed:geneSymbol |
c-myc
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1458-62
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1758053-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:1758053-Female,
pubmed-meshheading:1758053-Genes, myc,
pubmed-meshheading:1758053-Humans,
pubmed-meshheading:1758053-Interferon-alpha,
pubmed-meshheading:1758053-Interleukin-6,
pubmed-meshheading:1758053-Middle Aged,
pubmed-meshheading:1758053-Multiple Myeloma
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pubmed:year |
1991
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pubmed:articleTitle |
[A high serum level of interleukin-6 in a patient with aggressive multiple myeloma].
|
pubmed:affiliation |
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|