多发性骨髓瘤伴淀粉样变性患者自体外周血干细胞移植前诱导化疗后发生周围神经病变的病例报告

Maria Kim, Seyeon Lee, Kibeom Ku, Irang Nam, Min-hwa Kim, So-yeon Kim
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摘要

导言:我们介绍了一例多发性骨髓瘤合并淀粉样变性的病例,患者为一名 56 岁的女性,在自体外周血干细胞移植前接受诱导化疗后出现了周围神经病变的特征:住院 17 天,患者主诉手脚麻木和刺痛感,接受了针灸和中药治疗。为了减轻症状,我们提供了韩医治疗,包括中药、针灸和艾灸。我们使用视觉模拟量表(VAS)来评估治疗效果。直至出院,双手和足部刺痛感的 VAS 评分均有所下降:结论:根据上述结果,韩医治疗可被视为治疗多发性骨髓瘤合并淀粉样变性患者刺痛感的有效方法。今后还需要进行前瞻性研究,以证实和扩大这些研究结果。
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A Case Report of Peripheral Neuropathy after Induction Chemotherapy before Autologous Peripheral Blood Stem Cell Transplantation in a Patient with Multiple Myeloma with Amyloidosis Treated with Complex Korean Medicine Treatment
Introduction: We present a case of multiple myeloma with amyloidosis, which has features of peripheral neuropathy after induction chemotherapy before autologous peripheral blood stem cell transplantation, in a 56-year-old woman with Korean medicine.Case Presentation: For 17 days of hospitalization, the patient with complaints of numbness and a tingling sensation in the hands and feet was treated with acupuncture, herbal medicine. To reduce the symptoms, we provided Korean medicine treatments, including herbal medicine, acupuncture, and moxibustion. The Visual Analog Scale (VAS) was used to evaluate the results of the treatment. Until discharge, the VAS scores decreased for both hands and the foot tingling sensation.Conclusion: According to these results, Korean medicine treatment may be considered an effective treatment for tingling sensations in a patient with multiple myeloma with amyloidosis. Prospective studies are needed in the future to confirm and expand these findings.
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