We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Factors in the Renal Failure of Multiple Myeloma

Arch Intern Med. 1965;116(3):400-405. doi:10.1001/archinte.1965.03870030080013.
Text Size: A A A
Published online


RENAL insufficiency, a common and important complication of multiple myeloma, is generally attributed to the damaging effects of Bence Jones protein on tubular function.1 The pathophysiology of this type of renal failure must be better understood, if better therapeutic and prophylactic measures are to be devised. Although the renal failure in multiple myeloma is generally chronic and progressive, in rare instances acute failure may occur.

The present report describes a patient with unsuspected myeloma who died with acute renal failure following dehydration and pneumonia. In addition, the chief pathogenetic factors in the development of the acute and chronic renal failure of myeloma are presented and previously reported cases of acute renal failure complicating myeloma are reviewed. The importance of oliguria and aciduria in the tubular precipitation of Bence Jones protein is pointed out. Maintenance of diuresis and neutral or alkaline urines is suggested for the treatment and prevention


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.