Reversible renal insufficiency in multiple myeloma

Abstract

Patients (45) met the criteria for the diagnosis of multiple myeloma in a retrospective chart review from 1975-1980. Renal insufficiency with peak serum creatinine concentration > 1.5 mg/dl involved 69% of all patients. Renal insufficiency was reversible in 55% of the cases. Treatment of hypercalcemia and/or chemotherapy for multiple myeloma was associated with reversibility in 88% of cases. Once renal insufficiency occurred in patients with multiple myeloma, those with reversible renal failure had a duration of survival fourfold longer (11.4 vs. 2.8 mo.) than that in those with irreversible renal insufficiency. Reversible renal insufficiency from hypercalcemia or the myeloma process itself develops in a majority of patients with multiple myeloma. If therapy reverses the renal dysfunction, a greater life expectancy occurs. Patients with multiple myeloma and renal insufficiency should be examined for reversible causes of renal dysfunction, since if found and treated, a substantial improvement in prognosis is achieved.