Transcription of 39．多発性骨髄腫および 免疫増殖性新生物
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39．多発性骨髄腫および 免疫増殖性新生物
39 .. 1992 International Classification of . Diseases 10th Revision(ICD-10) M IgG IgA IgM IgD IgE . ( 5 ) . 2 2 . 3 . Waldenstr m . Waldenstr m Monoclonal gammopathy of undeter- H mined significance(MGUS) M . H ( ) ( 1)1) M . M .. M . M . (monoclonal gammopathy M ) M.. M . ( . 2)2) 4) M . M ( 3) . M 1 . B 5) .. 1 M 1).. POEMS* (Crow-Fukase ).. Waldenstr m ( ). (H ). Monoclonal gammopathy of undetermined significance(MGUS). M . *polyneuropathy organomegaly endocrinopathy M-protein and skin changes (M . ). 162 . 39 . 2 M 2) 4).. 1 . 2 30%. 3 M : IgG IgA Bence-Jones 1g/24 . ( ).. 1 10 30%. 2 M 3 . 3 . 4 : IgM 50mg/dl IgA 100mg/dl IgG 600mg/dl . 1 1 ( 1 1 ) . 1 2 3 .. 1 (3 ) . 2 M : IgG 7g/dl IgA 5g/dl 3.
－ 162 － 39．多発性骨髄腫および 免疫増殖性新生物 桑 島 実 1992 年に改定された International Classification of Diseases，10th Revision(ICD-10)に準拠した｢疾病，傷
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