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sensorineural hearing loss as a first presentation of multiple myeloma: a successful management with therapeutic plasma exchange
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نویسنده
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daraei morteza ,khajeh-mehrizi ahmad ,amirzargar behrooz ,ameli fereshteh ,zeinalkhani fahimeh
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منبع
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case reports in clinical practice - 2024 - دوره : 9 - شماره : 3 - صفحه:125 -132
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چکیده
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Sudden sensorineural hearing loss (ssnhl) as the initial manifestation of multiple myeloma (mm) is rare. we present a 45-year-old woman with hyperviscosity syndrome (serum viscosity of 10.2 cp) from mm who presented with hearing disturbance that responded dramatically to plasma exchange with saline and intratympanic steroid treatment. serum protein electrophoresis confirmed the presence of a monoclonal band, and bone marrow biopsy showed a hypercellular marrow with 90% plasma cells, which demonstrated lambda monoclonal restriction.
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کلیدواژه
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sensorineural hearing loss ,viscosity ,multiple myeloma ,plasma exchange
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آدرس
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tehran university of medical sciences, imam khomeini hospital complex, department of internal medicine, iran, tehran university of medical sciences, cancer institute, imam khomeini hospital complex, department of hematology and medical oncology, iran, tehran university of medical sciences, otorhinolaryngology research center, imam khomeini hospital complex, department of otorhinolaryngology-head and neck surgery, iran, tehran university of medical sciences, cancer institute, imam khomeini hospital complex, department of pathology, iran, tehran university of medical sciences, advanced diagnostic and interventional radiology research center (adir), imam khomeini hospital complex, iran
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پست الکترونیکی
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f_zeinalkhani@yahoo.com
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Authors
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