Background
Renal failure is present in around 40% of patients at the time of diagnosis of multiple myeloma, with approximately an additional 20% developing it later in the course of the disease. It is a serious complication associated with a higher rate of mortality in multiple myeloma and may occur both acutely and chronically. Proteinuria and a raised blood creatinine are the most commonly noted features, though occasionally nephrotic syndrome is seen.
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