[Acute Liver Failure in patient with liver amyloidosis associated to multiple myeloma]. / Insuficiencia hepática aguda en amiloidosis hepática asociada a mieloma múltiple. Caso clínico.

ABSTRACT

We report a 67 years old woman admitted to the hospital for the study of a cholestatic jaundice and massive hepatomegaly. On admission, the patient did not have liver failure. During hospital stay, the patient experienced a progressive deterioration of liver function and a monoclonal gammopathy was detected. An IgG Kappa myeloma-was diagnosed. A fine needle liver biopsy disclosed the presence of amyloid. The patient developed acute liver failure and died three weeks after admission.