Abstract
To investigate whether urographic contrast media might precipitate Bence Jones protein in the renal tubules and lead to renal failure in patients with myelomatosis, the reaction between the media and myeloma urine was studied in vitro. Appreciable precipitation was found only in urine at or below pH 4·5, and its occurrence did not correlate with the type or concentration of protein present. It is concluded that the risk of urography in myelomatosis is very small.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Gross M., McDonald H., Jr, Waterhouse K. Anuria following urography with meglumine diatrizoate (renografin) in multiple myeloma. Radiology. 1968 Apr;90(4):780–781. doi: 10.1148/90.4.780. [DOI] [PubMed] [Google Scholar]
- LEUCUTIA T. Multiple myeloma and intravenous pyelography. Am J Roentgenol Radium Ther Nucl Med. 1961 Jan;85:187–189. [PubMed] [Google Scholar]
- Lasser E. C., Lang J. H., Zawadzki Z. A. Contrast media. Myeloma protein precipitates in urography. JAMA. 1966 Nov 21;198(8):945–947. doi: 10.1001/jama.198.8.945. [DOI] [PubMed] [Google Scholar]
- Levi D. F., Williams R. C., Jr, Lindstrom F. D. Immunofluorescent studies of the myeloma kidney with special reference to light chain disease. Am J Med. 1968 Jun;44(6):922–933. doi: 10.1016/0002-9343(68)90092-2. [DOI] [PubMed] [Google Scholar]
- Mackenzie M. R., Wuepper K. D., Jordan G., Fudenberg H. H. Rapid renal failure in a case of multiple myeloma: the role of Bence Jones proteins. Clin Exp Immunol. 1968 Jul;3(6):593–601. [PMC free article] [PubMed] [Google Scholar]
- REES E. D., WAUGH W. H. FACTORS IN THE RENAL FAILURE OF MULTIPLE MYELOMA. Arch Intern Med. 1965 Sep;116:400–405. doi: 10.1001/archinte.1965.03870030080013. [DOI] [PubMed] [Google Scholar]
- Vix V. A. Intravenous pyelography in multiple myeloma. A review of 52 studies in 40 patients. Radiology. 1966 Nov;87(5):896–902. doi: 10.1148/87.5.896. [DOI] [PubMed] [Google Scholar]