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Previous Volume 346:1674-1675 May 23, 2002 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: We report the development of hyperammonemic encephalopathy in a patient with multiple myeloma.

A 43-year-old woman with stage IIIA light-chain multiple myeloma presented to the hospital with lethargy and a left molar mass. She had not received chemotherapy during the four months before admission. On physical examination, the patient was alert, oriented, and afebrile, with a left-sided upper molar mass measuring 5 by 6 cm. Electrolyte, blood urea nitrogen, creatinine, and calcium levels were unremarkable. Biopsy of the left molar mass revealed a plasmacytoma. The patient became increasingly confused during her hospital course. Computed tomography (CT) and . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Clay, A. S., Hainline, B. E. (2007). Hyperammonemia in the ICU. Chest 132: 1368-1378 [Abstract] [Full Text]