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An 8-year-old NM DSH with a history of azotemia was presented for evaluation. Abnormalities on serum biochemistry were azotemia (BUN 58, creatinine 3.4), hyperproteinemia (22.8), hypoalbuminemia (1.9), and severe hyperglobulinemia (20.9).
An 8-year-old NM DSH with a history of azotemia was presented for evaluation. Abnormalities on serum biochemistry were azotemia (BUN 58, creatinine 3.4), hyperproteinemia (22.8), hypoalbuminemia (1.9), and severe hyperglobulinemia (20.9).
multiple myeloma
chronic infectious disease- less likely
immune stimulations – less likely
The spleen was enlarged with scalloping contour with micronodular changes and measured 1.5 cm in width.
Renal – chronic kidney disease, granulomatous nephritis, neoplasia
FIP
Multiple myeloma
Lymphoma
FNA/cytology of the spleen was performed.and revealed plasma cell proliferation consistent with multiple myeloma.
