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A Case of Bortezomib-Associated Thrombotic Microangiopathy in a Multiple Myeloma Patient

dc.contributor.authorMoreira Fonseca, N
dc.contributor.authorCardoso, F
dc.contributor.authorMonteiro, M
dc.contributor.authorGóis, M
dc.contributor.authorSousa, H
dc.contributor.authorFidalgo, T
dc.contributor.authorCalado, J
dc.contributor.authorNolasco, F
dc.date.accessioned2021-10-06T15:02:28Z
dc.date.available2021-10-06T15:02:28Z
dc.date.issued2020
dc.description.abstractBortezomib is a first-generation proteasome inhibitor used in the treatment of multiple myeloma. We present a case of a 70-year-old woman with multiple myeloma, who presented thrombotic microangiopathy with multi-organ involvement thrombotic microangiopathy (ocular, cardiac, and renal) after bortezomib initiation. A kidney biopsy confirmed the diagnosis of thrombotic microangiopathy. A temporal relation between bortezomib exposure and thrombotic microangiopathy onset was seen in the absence of other concurrent medication or disease known to cause thrombotic microangiopathy, and thrombotic microangiopathy was only resolved after drug discontinuation. The exact pathophysiological mechanism remains unknown. To our knowledge, this is the second biopsy-proven published case of bortezomib-associated thrombotic microangiopathy. Since bortezomib is extensively used for treating patients with multiple myeloma, prescribing clinicians should maintain a high index of suspicion of this potentially fatal complication.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Onco-Nephrology 2020;4(1-2):46-51pt_PT
dc.identifier.doi10.1177/2399369319894343pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3867
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.subjectHCC NEFpt_PT
dc.subjectCHLC MEDpt_PT
dc.subjectBortezomibpt_PT
dc.subjectThrombotic Microangiopathiespt_PT
dc.subjectMultiple Myelomapt_PT
dc.subjectToxicitypt_PT
dc.titleA Case of Bortezomib-Associated Thrombotic Microangiopathy in a Multiple Myeloma Patientpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage51pt_PT
oaire.citation.startPage46pt_PT
oaire.citation.titleJournal of Onco-Nephrologypt_PT
oaire.citation.volume4pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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