id sid tid token lemma pos cord-017142-vx3rgs4r 1 1 key key JJ cord-017142-vx3rgs4r 1 2 : : : cord-017142-vx3rgs4r 1 3 cord-017142-vx3rgs4r cord-017142-vx3rgs4r . cord-017142-vx3rgs4r 1 4 authors author NNS cord-017142-vx3rgs4r 1 5 : : : cord-017142-vx3rgs4r 1 6 Nair Nair NNP cord-017142-vx3rgs4r 1 7 , , , cord-017142-vx3rgs4r 1 8 Ranjit Ranjit NNP cord-017142-vx3rgs4r 1 9 ; ; : cord-017142-vx3rgs4r 1 10 Patel Patel NNP cord-017142-vx3rgs4r 1 11 , , , cord-017142-vx3rgs4r 1 12 Krina Krina NNP cord-017142-vx3rgs4r 1 13 title title NN cord-017142-vx3rgs4r 1 14 : : : cord-017142-vx3rgs4r 2 1 What what WP cord-017142-vx3rgs4r 2 2 the the DT cord-017142-vx3rgs4r 2 3 Intensivists Intensivists NNPS cord-017142-vx3rgs4r 2 4 Need need VBP cord-017142-vx3rgs4r 2 5 to to TO cord-017142-vx3rgs4r 2 6 Know know VB cord-017142-vx3rgs4r 2 7 About about IN cord-017142-vx3rgs4r 2 8 Critically critically RB cord-017142-vx3rgs4r 2 9 Ill Ill NNP cord-017142-vx3rgs4r 2 10 Myeloma Myeloma NNP cord-017142-vx3rgs4r 2 11 Patients patient NNS cord-017142-vx3rgs4r 2 12 date date NN cord-017142-vx3rgs4r 3 1 : : : cord-017142-vx3rgs4r 3 2 2019 2019 CD cord-017142-vx3rgs4r 3 3 - - HYPH cord-017142-vx3rgs4r 3 4 07 07 CD cord-017142-vx3rgs4r 3 5 - - HYPH cord-017142-vx3rgs4r 3 6 09 09 CD cord-017142-vx3rgs4r 3 7 journal journal NN cord-017142-vx3rgs4r 3 8 : : : cord-017142-vx3rgs4r 4 1 Oncologic Oncologic NNP cord-017142-vx3rgs4r 4 2 Critical Critical NNP cord-017142-vx3rgs4r 4 3 Care Care NNP cord-017142-vx3rgs4r 4 4 DOI doi NN cord-017142-vx3rgs4r 4 5 : : : cord-017142-vx3rgs4r 5 1 10.1007/978 10.1007/978 LS cord-017142-vx3rgs4r 5 2 - - SYM cord-017142-vx3rgs4r 5 3 3 3 CD cord-017142-vx3rgs4r 5 4 - - HYPH cord-017142-vx3rgs4r 5 5 319 319 CD cord-017142-vx3rgs4r 5 6 - - HYPH cord-017142-vx3rgs4r 5 7 74588 74588 CD cord-017142-vx3rgs4r 5 8 - - HYPH cord-017142-vx3rgs4r 5 9 6_98 6_98 CD cord-017142-vx3rgs4r 5 10 sha sha NNP cord-017142-vx3rgs4r 5 11 : : : cord-017142-vx3rgs4r 6 1 52fcbbab38266dc6779fe3a9a004439fcd07290b 52fcbbab38266dc6779fe3a9a004439fcd07290b CD cord-017142-vx3rgs4r 6 2 doc_id doc_id CD cord-017142-vx3rgs4r 6 3 : : : cord-017142-vx3rgs4r 6 4 17142 17142 CD cord-017142-vx3rgs4r 6 5 cord_uid cord_uid NNS cord-017142-vx3rgs4r 6 6 : : : cord-017142-vx3rgs4r 6 7 vx3rgs4r vx3rgs4r NNP cord-017142-vx3rgs4r 6 8 Multiple multiple JJ cord-017142-vx3rgs4r 6 9 myeloma myeloma NN cord-017142-vx3rgs4r 6 10 ( ( -LRB- cord-017142-vx3rgs4r 6 11 MM MM NNP cord-017142-vx3rgs4r 6 12 ) ) -RRB- cord-017142-vx3rgs4r 6 13 is be VBZ cord-017142-vx3rgs4r 6 14 a a DT cord-017142-vx3rgs4r 6 15 hematological hematological JJ cord-017142-vx3rgs4r 6 16 malignancy malignancy NN cord-017142-vx3rgs4r 6 17 characterized characterize VBN cord-017142-vx3rgs4r 6 18 by by IN cord-017142-vx3rgs4r 6 19 an an DT cord-017142-vx3rgs4r 6 20 increase increase NN cord-017142-vx3rgs4r 6 21 in in IN cord-017142-vx3rgs4r 6 22 aberrant aberrant JJ cord-017142-vx3rgs4r 6 23 plasma plasma NN cord-017142-vx3rgs4r 6 24 cells cell NNS cord-017142-vx3rgs4r 6 25 in in IN cord-017142-vx3rgs4r 6 26 the the DT cord-017142-vx3rgs4r 6 27 bone bone NN cord-017142-vx3rgs4r 6 28 marrow marrow NN cord-017142-vx3rgs4r 6 29 leading lead VBG cord-017142-vx3rgs4r 6 30 to to IN cord-017142-vx3rgs4r 6 31 rising rise VBG cord-017142-vx3rgs4r 6 32 monoclonal monoclonal JJ cord-017142-vx3rgs4r 6 33 protein protein NN cord-017142-vx3rgs4r 6 34 in in IN cord-017142-vx3rgs4r 6 35 serum serum NN cord-017142-vx3rgs4r 6 36 and and CC cord-017142-vx3rgs4r 6 37 urine urine NN cord-017142-vx3rgs4r 6 38 . . . cord-017142-vx3rgs4r 7 1 With with IN cord-017142-vx3rgs4r 7 2 the the DT cord-017142-vx3rgs4r 7 3 introduction introduction NN cord-017142-vx3rgs4r 7 4 of of IN cord-017142-vx3rgs4r 7 5 novel novel JJ cord-017142-vx3rgs4r 7 6 therapies therapy NNS cord-017142-vx3rgs4r 7 7 with with IN cord-017142-vx3rgs4r 7 8 manageable manageable JJ cord-017142-vx3rgs4r 7 9 side side NN cord-017142-vx3rgs4r 7 10 effects effect NNS cord-017142-vx3rgs4r 7 11 , , , cord-017142-vx3rgs4r 7 12 this this DT cord-017142-vx3rgs4r 7 13 incurable incurable JJ cord-017142-vx3rgs4r 7 14 disease disease NN cord-017142-vx3rgs4r 7 15 has have VBZ cord-017142-vx3rgs4r 7 16 evolved evolve VBN cord-017142-vx3rgs4r 7 17 into into IN cord-017142-vx3rgs4r 7 18 a a DT cord-017142-vx3rgs4r 7 19 chronic chronic JJ cord-017142-vx3rgs4r 7 20 disease disease NN cord-017142-vx3rgs4r 7 21 with with IN cord-017142-vx3rgs4r 7 22 an an DT cord-017142-vx3rgs4r 7 23 acceptable acceptable JJ cord-017142-vx3rgs4r 7 24 quality quality NN cord-017142-vx3rgs4r 7 25 of of IN cord-017142-vx3rgs4r 7 26 life life NN cord-017142-vx3rgs4r 7 27 for for IN cord-017142-vx3rgs4r 7 28 the the DT cord-017142-vx3rgs4r 7 29 majority majority NN cord-017142-vx3rgs4r 7 30 of of IN cord-017142-vx3rgs4r 7 31 patients patient NNS cord-017142-vx3rgs4r 7 32 . . . cord-017142-vx3rgs4r 8 1 Accordingly accordingly RB cord-017142-vx3rgs4r 8 2 , , , cord-017142-vx3rgs4r 8 3 management management NN cord-017142-vx3rgs4r 8 4 of of IN cord-017142-vx3rgs4r 8 5 acute acute JJ cord-017142-vx3rgs4r 8 6 complications complication NNS cord-017142-vx3rgs4r 8 7 is be VBZ cord-017142-vx3rgs4r 8 8 fundamental fundamental JJ cord-017142-vx3rgs4r 8 9 in in IN cord-017142-vx3rgs4r 8 10 reducing reduce VBG cord-017142-vx3rgs4r 8 11 the the DT cord-017142-vx3rgs4r 8 12 morbidity morbidity NN cord-017142-vx3rgs4r 8 13 and and CC cord-017142-vx3rgs4r 8 14 mortality mortality NN cord-017142-vx3rgs4r 8 15 in in IN cord-017142-vx3rgs4r 8 16 MM MM NNP cord-017142-vx3rgs4r 8 17 . . . cord-017142-vx3rgs4r 9 1 MM MM NNP cord-017142-vx3rgs4r 9 2 emergencies emergency NNS cord-017142-vx3rgs4r 9 3 include include VBP cord-017142-vx3rgs4r 9 4 symptoms symptom NNS cord-017142-vx3rgs4r 9 5 and and CC cord-017142-vx3rgs4r 9 6 signs sign NNS cord-017142-vx3rgs4r 9 7 related relate VBN cord-017142-vx3rgs4r 9 8 directly directly RB cord-017142-vx3rgs4r 9 9 to to IN cord-017142-vx3rgs4r 9 10 the the DT cord-017142-vx3rgs4r 9 11 disease disease NN cord-017142-vx3rgs4r 9 12 and/or and/or CC cord-017142-vx3rgs4r 9 13 to to IN cord-017142-vx3rgs4r 9 14 the the DT cord-017142-vx3rgs4r 9 15 treatment treatment NN cord-017142-vx3rgs4r 9 16 ; ; : cord-017142-vx3rgs4r 9 17 many many JJ cord-017142-vx3rgs4r 9 18 organs organ NNS cord-017142-vx3rgs4r 9 19 may may MD cord-017142-vx3rgs4r 9 20 be be VB cord-017142-vx3rgs4r 9 21 involved involve VBN cord-017142-vx3rgs4r 9 22 including include VBG cord-017142-vx3rgs4r 9 23 , , , cord-017142-vx3rgs4r 9 24 but but CC cord-017142-vx3rgs4r 9 25 not not RB cord-017142-vx3rgs4r 9 26 limited limited JJ cord-017142-vx3rgs4r 9 27 to to IN cord-017142-vx3rgs4r 9 28 , , , cord-017142-vx3rgs4r 9 29 renal renal JJ cord-017142-vx3rgs4r 9 30 , , , cord-017142-vx3rgs4r 9 31 cardiovascular cardiovascular JJ cord-017142-vx3rgs4r 9 32 , , , cord-017142-vx3rgs4r 9 33 neurologic neurologic JJ cord-017142-vx3rgs4r 9 34 , , , cord-017142-vx3rgs4r 9 35 hematologic hematologic JJ cord-017142-vx3rgs4r 9 36 , , , cord-017142-vx3rgs4r 9 37 and and CC cord-017142-vx3rgs4r 9 38 infectious infectious JJ cord-017142-vx3rgs4r 9 39 complications complication NNS cord-017142-vx3rgs4r 9 40 . . . cord-017142-vx3rgs4r 10 1 This this DT cord-017142-vx3rgs4r 10 2 review review NN cord-017142-vx3rgs4r 10 3 will will MD cord-017142-vx3rgs4r 10 4 focus focus VB cord-017142-vx3rgs4r 10 5 on on IN cord-017142-vx3rgs4r 10 6 the the DT cord-017142-vx3rgs4r 10 7 numerous numerous JJ cord-017142-vx3rgs4r 10 8 approaches approach NNS cord-017142-vx3rgs4r 10 9 that that WDT cord-017142-vx3rgs4r 10 10 are be VBP cord-017142-vx3rgs4r 10 11 aimed aim VBN cord-017142-vx3rgs4r 10 12 at at IN cord-017142-vx3rgs4r 10 13 managing manage VBG cord-017142-vx3rgs4r 10 14 these these DT cord-017142-vx3rgs4r 10 15 complications complication NNS cord-017142-vx3rgs4r 10 16 . . . cord-017142-vx3rgs4r 11 1 MM MM NNP cord-017142-vx3rgs4r 11 2 is be VBZ cord-017142-vx3rgs4r 11 3 a a DT cord-017142-vx3rgs4r 11 4 hematological hematological JJ cord-017142-vx3rgs4r 11 5 malignancy malignancy NN cord-017142-vx3rgs4r 11 6 characterized characterize VBN cord-017142-vx3rgs4r 11 7 by by IN cord-017142-vx3rgs4r 11 8 an an DT cord-017142-vx3rgs4r 11 9 increase increase NN cord-017142-vx3rgs4r 11 10 in in IN cord-017142-vx3rgs4r 11 11 aberrant aberrant JJ cord-017142-vx3rgs4r 11 12 plasma plasma NN cord-017142-vx3rgs4r 11 13 cells cell NNS cord-017142-vx3rgs4r 11 14 in in IN cord-017142-vx3rgs4r 11 15 the the DT cord-017142-vx3rgs4r 11 16 bone bone NN cord-017142-vx3rgs4r 11 17 marrow marrow NN cord-017142-vx3rgs4r 11 18 leading lead VBG cord-017142-vx3rgs4r 11 19 to to IN cord-017142-vx3rgs4r 11 20 rising rise VBG cord-017142-vx3rgs4r 11 21 monoclonal monoclonal JJ cord-017142-vx3rgs4r 11 22 proteins protein NNS cord-017142-vx3rgs4r 11 23 in in IN cord-017142-vx3rgs4r 11 24 the the DT cord-017142-vx3rgs4r 11 25 serum serum NN cord-017142-vx3rgs4r 11 26 and and CC cord-017142-vx3rgs4r 11 27 urine urine NN cord-017142-vx3rgs4r 11 28 . . . cord-017142-vx3rgs4r 12 1 In in IN cord-017142-vx3rgs4r 12 2 general general JJ cord-017142-vx3rgs4r 12 3 , , , cord-017142-vx3rgs4r 12 4 it -PRON- PRP cord-017142-vx3rgs4r 12 5 is be VBZ cord-017142-vx3rgs4r 12 6 a a DT cord-017142-vx3rgs4r 12 7 disease disease NN cord-017142-vx3rgs4r 12 8 of of IN cord-017142-vx3rgs4r 12 9 older old JJR cord-017142-vx3rgs4r 12 10 adults adult NNS cord-017142-vx3rgs4r 12 11 ; ; : cord-017142-vx3rgs4r 12 12 however however RB cord-017142-vx3rgs4r 12 13 , , , cord-017142-vx3rgs4r 12 14 MM MM NNP cord-017142-vx3rgs4r 12 15 may may MD cord-017142-vx3rgs4r 12 16 effect effect VB cord-017142-vx3rgs4r 12 17 younger young JJR cord-017142-vx3rgs4r 12 18 patients patient NNS cord-017142-vx3rgs4r 12 19 as as RB cord-017142-vx3rgs4r 12 20 well well RB cord-017142-vx3rgs4r 12 21 : : : cord-017142-vx3rgs4r 12 22 15 15 CD cord-017142-vx3rgs4r 12 23 % % NN cord-017142-vx3rgs4r 12 24 are be VBP cord-017142-vx3rgs4r 12 25 < < XX cord-017142-vx3rgs4r 12 26 50 50 CD cord-017142-vx3rgs4r 12 27 years year NNS cord-017142-vx3rgs4r 12 28 , , , cord-017142-vx3rgs4r 12 29 3 3 CD cord-017142-vx3rgs4r 12 30 % % NN cord-017142-vx3rgs4r 12 31 are be VBP cord-017142-vx3rgs4r 12 32 < < XX cord-017142-vx3rgs4r 12 33 40 40 CD cord-017142-vx3rgs4r 12 34 years year NNS cord-017142-vx3rgs4r 12 35 , , , cord-017142-vx3rgs4r 12 36 and and CC cord-017142-vx3rgs4r 12 37 0.2 0.2 CD cord-017142-vx3rgs4r 12 38 % % NN cord-017142-vx3rgs4r 12 39 are be VBP cord-017142-vx3rgs4r 12 40 < < XX cord-017142-vx3rgs4r 12 41 30 30 CD cord-017142-vx3rgs4r 12 42 years year NNS cord-017142-vx3rgs4r 12 43 in in IN cord-017142-vx3rgs4r 12 44 age age NN cord-017142-vx3rgs4r 12 45 [ [ -LRB- cord-017142-vx3rgs4r 12 46 74 74 CD cord-017142-vx3rgs4r 12 47 ] ] -RRB- cord-017142-vx3rgs4r 12 48 . . . cord-017142-vx3rgs4r 13 1 It -PRON- PRP cord-017142-vx3rgs4r 13 2 accounts account VBZ cord-017142-vx3rgs4r 13 3 for for IN cord-017142-vx3rgs4r 13 4 about about RB cord-017142-vx3rgs4r 13 5 10 10 CD cord-017142-vx3rgs4r 13 6 % % NN cord-017142-vx3rgs4r 13 7 of of IN cord-017142-vx3rgs4r 13 8 hematological hematological JJ cord-017142-vx3rgs4r 13 9 malignancies malignancy NNS cord-017142-vx3rgs4r 13 10 in in IN cord-017142-vx3rgs4r 13 11 the the DT cord-017142-vx3rgs4r 13 12 United United NNP cord-017142-vx3rgs4r 13 13 States States NNP cord-017142-vx3rgs4r 13 14 , , , cord-017142-vx3rgs4r 13 15 with with IN cord-017142-vx3rgs4r 13 16 an an DT cord-017142-vx3rgs4r 13 17 estimated estimate VBN cord-017142-vx3rgs4r 13 18 30,770 30,770 CD cord-017142-vx3rgs4r 13 19 new new JJ cord-017142-vx3rgs4r 13 20 cases case NNS cord-017142-vx3rgs4r 13 21 in in IN cord-017142-vx3rgs4r 13 22 2018 2018 CD cord-017142-vx3rgs4r 13 23 . . . cord-017142-vx3rgs4r 14 1 Patients patient NNS cord-017142-vx3rgs4r 14 2 often often RB cord-017142-vx3rgs4r 14 3 present present JJ cord-017142-vx3rgs4r 14 4 with with IN cord-017142-vx3rgs4r 14 5 osteolytic osteolytic JJ cord-017142-vx3rgs4r 14 6 bone bone NN cord-017142-vx3rgs4r 14 7 lesions lesion NNS cord-017142-vx3rgs4r 14 8 , , , cord-017142-vx3rgs4r 14 9 fractures fracture NNS cord-017142-vx3rgs4r 14 10 , , , cord-017142-vx3rgs4r 14 11 bone bone NN cord-017142-vx3rgs4r 14 12 pain pain NN cord-017142-vx3rgs4r 14 13 , , , cord-017142-vx3rgs4r 14 14 progressive progressive JJ cord-017142-vx3rgs4r 14 15 anemia anemia NN cord-017142-vx3rgs4r 14 16 , , , cord-017142-vx3rgs4r 14 17 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 14 18 , , , cord-017142-vx3rgs4r 14 19 renal renal JJ cord-017142-vx3rgs4r 14 20 insufficiency insufficiency NN cord-017142-vx3rgs4r 14 21 , , , cord-017142-vx3rgs4r 14 22 recurrent recurrent JJ cord-017142-vx3rgs4r 14 23 infections infection NNS cord-017142-vx3rgs4r 14 24 , , , cord-017142-vx3rgs4r 14 25 and/or and/or CC cord-017142-vx3rgs4r 14 26 bleeding bleed VBG cord-017142-vx3rgs4r 14 27 . . . cord-017142-vx3rgs4r 15 1 If if IN cord-017142-vx3rgs4r 15 2 not not RB cord-017142-vx3rgs4r 15 3 treated treat VBN cord-017142-vx3rgs4r 15 4 appropriately appropriately RB cord-017142-vx3rgs4r 15 5 and and CC cord-017142-vx3rgs4r 15 6 urgently urgently RB cord-017142-vx3rgs4r 15 7 , , , cord-017142-vx3rgs4r 15 8 any any DT cord-017142-vx3rgs4r 15 9 of of IN cord-017142-vx3rgs4r 15 10 these these DT cord-017142-vx3rgs4r 15 11 may may MD cord-017142-vx3rgs4r 15 12 lead lead VB cord-017142-vx3rgs4r 15 13 to to IN cord-017142-vx3rgs4r 15 14 death death NN cord-017142-vx3rgs4r 15 15 . . . cord-017142-vx3rgs4r 16 1 The the DT cord-017142-vx3rgs4r 16 2 introduction introduction NN cord-017142-vx3rgs4r 16 3 of of IN cord-017142-vx3rgs4r 16 4 novel novel JJ cord-017142-vx3rgs4r 16 5 agents agent NNS cord-017142-vx3rgs4r 16 6 to to IN cord-017142-vx3rgs4r 16 7 the the DT cord-017142-vx3rgs4r 16 8 traditional traditional JJ cord-017142-vx3rgs4r 16 9 arsenal arsenal NN cord-017142-vx3rgs4r 16 10 of of IN cord-017142-vx3rgs4r 16 11 drugs drug NNS cord-017142-vx3rgs4r 16 12 comprising comprise VBG cord-017142-vx3rgs4r 16 13 of of IN cord-017142-vx3rgs4r 16 14 steroids steroid NNS cord-017142-vx3rgs4r 16 15 , , , cord-017142-vx3rgs4r 16 16 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 16 17 , , , cord-017142-vx3rgs4r 16 18 and and CC cord-017142-vx3rgs4r 16 19 autologous autologous JJ cord-017142-vx3rgs4r 16 20 stem stem NN cord-017142-vx3rgs4r 16 21 cell cell NN cord-017142-vx3rgs4r 16 22 transplantation transplantation NN cord-017142-vx3rgs4r 16 23 has have VBZ cord-017142-vx3rgs4r 16 24 shifted shift VBN cord-017142-vx3rgs4r 16 25 the the DT cord-017142-vx3rgs4r 16 26 treatment treatment NN cord-017142-vx3rgs4r 16 27 platform platform NN cord-017142-vx3rgs4r 16 28 from from IN cord-017142-vx3rgs4r 16 29 one one CD cord-017142-vx3rgs4r 16 30 which which WDT cord-017142-vx3rgs4r 16 31 often often RB cord-017142-vx3rgs4r 16 32 required require VBD cord-017142-vx3rgs4r 16 33 repeated repeat VBD cord-017142-vx3rgs4r 16 34 acute acute JJ cord-017142-vx3rgs4r 16 35 interventions intervention NNS cord-017142-vx3rgs4r 16 36 to to IN cord-017142-vx3rgs4r 16 37 that that DT cord-017142-vx3rgs4r 16 38 of of IN cord-017142-vx3rgs4r 16 39 a a DT cord-017142-vx3rgs4r 16 40 more more RBR cord-017142-vx3rgs4r 16 41 chronic chronic JJ cord-017142-vx3rgs4r 16 42 manageable manageable JJ cord-017142-vx3rgs4r 16 43 disease disease NN cord-017142-vx3rgs4r 16 44 . . . cord-017142-vx3rgs4r 17 1 As as IN cord-017142-vx3rgs4r 17 2 the the DT cord-017142-vx3rgs4r 17 3 acute acute JJ cord-017142-vx3rgs4r 17 4 complications complication NNS cord-017142-vx3rgs4r 17 5 can can MD cord-017142-vx3rgs4r 17 6 be be VB cord-017142-vx3rgs4r 17 7 potentially potentially RB cord-017142-vx3rgs4r 17 8 fatal fatal JJ cord-017142-vx3rgs4r 17 9 , , , cord-017142-vx3rgs4r 17 10 early early JJ cord-017142-vx3rgs4r 17 11 recognition recognition NN cord-017142-vx3rgs4r 17 12 and and CC cord-017142-vx3rgs4r 17 13 intensive intensive JJ cord-017142-vx3rgs4r 17 14 care care NN cord-017142-vx3rgs4r 17 15 management management NN cord-017142-vx3rgs4r 17 16 is be VBZ cord-017142-vx3rgs4r 17 17 the the DT cord-017142-vx3rgs4r 17 18 key key NN cord-017142-vx3rgs4r 17 19 to to IN cord-017142-vx3rgs4r 17 20 successful successful JJ cord-017142-vx3rgs4r 17 21 outcomes outcome NNS cord-017142-vx3rgs4r 17 22 . . . cord-017142-vx3rgs4r 18 1 These these DT cord-017142-vx3rgs4r 18 2 patients patient NNS cord-017142-vx3rgs4r 18 3 who who WP cord-017142-vx3rgs4r 18 4 present present VBP cord-017142-vx3rgs4r 18 5 with with IN cord-017142-vx3rgs4r 18 6 complications complication NNS cord-017142-vx3rgs4r 18 7 are be VBP cord-017142-vx3rgs4r 18 8 often often RB cord-017142-vx3rgs4r 18 9 excluded exclude VBN cord-017142-vx3rgs4r 18 10 from from IN cord-017142-vx3rgs4r 18 11 MM MM NNP cord-017142-vx3rgs4r 18 12 trials trial NNS cord-017142-vx3rgs4r 18 13 , , , cord-017142-vx3rgs4r 18 14 and and CC cord-017142-vx3rgs4r 18 15 their -PRON- PRP$ cord-017142-vx3rgs4r 18 16 prognosis prognosis NN cord-017142-vx3rgs4r 18 17 in in IN cord-017142-vx3rgs4r 18 18 the the DT cord-017142-vx3rgs4r 18 19 modern modern JJ cord-017142-vx3rgs4r 18 20 era era NN cord-017142-vx3rgs4r 18 21 is be VBZ cord-017142-vx3rgs4r 18 22 uncertain uncertain JJ cord-017142-vx3rgs4r 18 23 . . . cord-017142-vx3rgs4r 19 1 Reports report NNS cord-017142-vx3rgs4r 19 2 suggest suggest VBP cord-017142-vx3rgs4r 19 3 that that IN cord-017142-vx3rgs4r 19 4 in in IN cord-017142-vx3rgs4r 19 5 - - HYPH cord-017142-vx3rgs4r 19 6 hospital hospital NN cord-017142-vx3rgs4r 19 7 mortality mortality NN cord-017142-vx3rgs4r 19 8 from from IN cord-017142-vx3rgs4r 19 9 acute acute JJ cord-017142-vx3rgs4r 19 10 complications complication NNS cord-017142-vx3rgs4r 19 11 of of IN cord-017142-vx3rgs4r 19 12 MM MM NNP cord-017142-vx3rgs4r 19 13 has have VBZ cord-017142-vx3rgs4r 19 14 decreased decrease VBN cord-017142-vx3rgs4r 19 15 significantly significantly RB cord-017142-vx3rgs4r 19 16 over over IN cord-017142-vx3rgs4r 19 17 the the DT cord-017142-vx3rgs4r 19 18 past past JJ cord-017142-vx3rgs4r 19 19 decade decade NN cord-017142-vx3rgs4r 19 20 . . . cord-017142-vx3rgs4r 20 1 Continued continue VBN cord-017142-vx3rgs4r 20 2 risk risk NN cord-017142-vx3rgs4r 20 3 factors factor NNS cord-017142-vx3rgs4r 20 4 for for IN cord-017142-vx3rgs4r 20 5 death death NN cord-017142-vx3rgs4r 20 6 in in IN cord-017142-vx3rgs4r 20 7 this this DT cord-017142-vx3rgs4r 20 8 group group NN cord-017142-vx3rgs4r 20 9 of of IN cord-017142-vx3rgs4r 20 10 patients patient NNS cord-017142-vx3rgs4r 20 11 are be VBP cord-017142-vx3rgs4r 20 12 organ organ NN cord-017142-vx3rgs4r 20 13 failure failure NN cord-017142-vx3rgs4r 20 14 , , , cord-017142-vx3rgs4r 20 15 poor poor JJ cord-017142-vx3rgs4r 20 16 chronic chronic JJ cord-017142-vx3rgs4r 20 17 health health NN cord-017142-vx3rgs4r 20 18 status status NN cord-017142-vx3rgs4r 20 19 , , , cord-017142-vx3rgs4r 20 20 and and CC cord-017142-vx3rgs4r 20 21 delayed delay VBD cord-017142-vx3rgs4r 20 22 intensive intensive JJ cord-017142-vx3rgs4r 20 23 care care NN cord-017142-vx3rgs4r 20 24 management management NN cord-017142-vx3rgs4r 20 25 [ [ -LRB- cord-017142-vx3rgs4r 20 26 98 98 CD cord-017142-vx3rgs4r 20 27 ] ] -RRB- cord-017142-vx3rgs4r 20 28 . . . cord-017142-vx3rgs4r 21 1 Despite despite IN cord-017142-vx3rgs4r 21 2 having have VBG cord-017142-vx3rgs4r 21 3 increased increase VBN cord-017142-vx3rgs4r 21 4 life life NN cord-017142-vx3rgs4r 21 5 expectancy expectancy NN cord-017142-vx3rgs4r 21 6 now now RB cord-017142-vx3rgs4r 21 7 , , , cord-017142-vx3rgs4r 21 8 the the DT cord-017142-vx3rgs4r 21 9 majority majority NN cord-017142-vx3rgs4r 21 10 of of IN cord-017142-vx3rgs4r 21 11 MM MM NNP cord-017142-vx3rgs4r 21 12 patients patient NNS cord-017142-vx3rgs4r 21 13 ultimately ultimately RB cord-017142-vx3rgs4r 21 14 develop develop VBP cord-017142-vx3rgs4r 21 15 resistant resistant JJ cord-017142-vx3rgs4r 21 16 subclones subclone NNS cord-017142-vx3rgs4r 21 17 , , , cord-017142-vx3rgs4r 21 18 leading lead VBG cord-017142-vx3rgs4r 21 19 to to IN cord-017142-vx3rgs4r 21 20 disease disease NN cord-017142-vx3rgs4r 21 21 progression progression NN cord-017142-vx3rgs4r 21 22 and and CC cord-017142-vx3rgs4r 21 23 disease disease NN cord-017142-vx3rgs4r 21 24 - - HYPH cord-017142-vx3rgs4r 21 25 related relate VBN cord-017142-vx3rgs4r 21 26 complications complication NNS cord-017142-vx3rgs4r 21 27 . . . cord-017142-vx3rgs4r 22 1 With with IN cord-017142-vx3rgs4r 22 2 increasing increase VBG cord-017142-vx3rgs4r 22 3 complexity complexity NN cord-017142-vx3rgs4r 22 4 of of IN cord-017142-vx3rgs4r 22 5 MM MM NNP cord-017142-vx3rgs4r 22 6 treatments treatment NNS cord-017142-vx3rgs4r 22 7 , , , cord-017142-vx3rgs4r 22 8 patients patient NNS cord-017142-vx3rgs4r 22 9 are be VBP cord-017142-vx3rgs4r 22 10 at at IN cord-017142-vx3rgs4r 22 11 risk risk NN cord-017142-vx3rgs4r 22 12 for for IN cord-017142-vx3rgs4r 22 13 more more RBR cord-017142-vx3rgs4r 22 14 challenging challenging JJ cord-017142-vx3rgs4r 22 15 drug drug NN cord-017142-vx3rgs4r 22 16 toxicities toxicity NNS cord-017142-vx3rgs4r 22 17 . . . cord-017142-vx3rgs4r 23 1 Recognizing recognize VBG cord-017142-vx3rgs4r 23 2 and and CC cord-017142-vx3rgs4r 23 3 managing manage VBG cord-017142-vx3rgs4r 23 4 the the DT cord-017142-vx3rgs4r 23 5 potential potential JJ cord-017142-vx3rgs4r 23 6 side side NN cord-017142-vx3rgs4r 23 7 effects effect NNS cord-017142-vx3rgs4r 23 8 of of IN cord-017142-vx3rgs4r 23 9 present present JJ cord-017142-vx3rgs4r 23 10 - - HYPH cord-017142-vx3rgs4r 23 11 day day NN cord-017142-vx3rgs4r 23 12 novel novel NN cord-017142-vx3rgs4r 23 13 regimens regimen NNS cord-017142-vx3rgs4r 23 14 is be VBZ cord-017142-vx3rgs4r 23 15 therefore therefore RB cord-017142-vx3rgs4r 23 16 a a DT cord-017142-vx3rgs4r 23 17 cornerstone cornerstone NN cord-017142-vx3rgs4r 23 18 in in IN cord-017142-vx3rgs4r 23 19 MM MM NNP cord-017142-vx3rgs4r 23 20 care care NN cord-017142-vx3rgs4r 23 21 . . . cord-017142-vx3rgs4r 24 1 In in IN cord-017142-vx3rgs4r 24 2 this this DT cord-017142-vx3rgs4r 24 3 chapter chapter NN cord-017142-vx3rgs4r 24 4 , , , cord-017142-vx3rgs4r 24 5 we -PRON- PRP cord-017142-vx3rgs4r 24 6 will will MD cord-017142-vx3rgs4r 24 7 provide provide VB cord-017142-vx3rgs4r 24 8 a a DT cord-017142-vx3rgs4r 24 9 systematic systematic JJ cord-017142-vx3rgs4r 24 10 review review NN cord-017142-vx3rgs4r 24 11 of of IN cord-017142-vx3rgs4r 24 12 the the DT cord-017142-vx3rgs4r 24 13 key key JJ cord-017142-vx3rgs4r 24 14 critical critical JJ cord-017142-vx3rgs4r 24 15 clinical clinical JJ cord-017142-vx3rgs4r 24 16 events event NNS cord-017142-vx3rgs4r 24 17 which which WDT cord-017142-vx3rgs4r 24 18 cause cause VBP cord-017142-vx3rgs4r 24 19 medical medical JJ cord-017142-vx3rgs4r 24 20 emergencies emergency NNS cord-017142-vx3rgs4r 24 21 in in IN cord-017142-vx3rgs4r 24 22 MM MM NNP cord-017142-vx3rgs4r 24 23 . . . cord-017142-vx3rgs4r 25 1 This this DT cord-017142-vx3rgs4r 25 2 crucial crucial JJ cord-017142-vx3rgs4r 25 3 , , , cord-017142-vx3rgs4r 25 4 fundamental fundamental JJ cord-017142-vx3rgs4r 25 5 knowledge knowledge NN cord-017142-vx3rgs4r 25 6 for for IN cord-017142-vx3rgs4r 25 7 all all DT cord-017142-vx3rgs4r 25 8 clinicians clinician NNS cord-017142-vx3rgs4r 25 9 who who WP cord-017142-vx3rgs4r 25 10 routinely routinely RB cord-017142-vx3rgs4r 25 11 care care VBP cord-017142-vx3rgs4r 25 12 for for IN cord-017142-vx3rgs4r 25 13 MM MM NNP cord-017142-vx3rgs4r 25 14 including include VBG cord-017142-vx3rgs4r 25 15 intensivists intensivist NNS cord-017142-vx3rgs4r 25 16 will will MD cord-017142-vx3rgs4r 25 17 allow allow VB cord-017142-vx3rgs4r 25 18 for for IN cord-017142-vx3rgs4r 25 19 optimal optimal JJ cord-017142-vx3rgs4r 25 20 treatment treatment NN cord-017142-vx3rgs4r 25 21 outcomes outcome NNS cord-017142-vx3rgs4r 25 22 and and CC cord-017142-vx3rgs4r 25 23 survival survival NN cord-017142-vx3rgs4r 25 24 in in IN cord-017142-vx3rgs4r 25 25 MM MM NNP cord-017142-vx3rgs4r 25 26 . . . cord-017142-vx3rgs4r 26 1 Complications complication NNS cord-017142-vx3rgs4r 26 2 resulting result VBG cord-017142-vx3rgs4r 26 3 from from IN cord-017142-vx3rgs4r 26 4 stem stem NN cord-017142-vx3rgs4r 26 5 cell cell NN cord-017142-vx3rgs4r 26 6 transplant transplant NN cord-017142-vx3rgs4r 26 7 or or CC cord-017142-vx3rgs4r 26 8 newer new JJR cord-017142-vx3rgs4r 26 9 therapies therapy NNS cord-017142-vx3rgs4r 26 10 including include VBG cord-017142-vx3rgs4r 26 11 chimeric chimeric JJ cord-017142-vx3rgs4r 26 12 antigen antigen NN cord-017142-vx3rgs4r 26 13 receptor receptor NN cord-017142-vx3rgs4r 26 14 T t NN cord-017142-vx3rgs4r 26 15 cell cell NN cord-017142-vx3rgs4r 26 16 therapy therapy NN cord-017142-vx3rgs4r 26 17 are be VBP cord-017142-vx3rgs4r 26 18 beyond beyond IN cord-017142-vx3rgs4r 26 19 the the DT cord-017142-vx3rgs4r 26 20 scope scope NN cord-017142-vx3rgs4r 26 21 of of IN cord-017142-vx3rgs4r 26 22 this this DT cord-017142-vx3rgs4r 26 23 review review NN cord-017142-vx3rgs4r 26 24 and and CC cord-017142-vx3rgs4r 26 25 will will MD cord-017142-vx3rgs4r 26 26 not not RB cord-017142-vx3rgs4r 26 27 be be VB cord-017142-vx3rgs4r 26 28 discussed discuss VBN cord-017142-vx3rgs4r 26 29 here here RB cord-017142-vx3rgs4r 26 30 . . . cord-017142-vx3rgs4r 27 1 Renal renal JJ cord-017142-vx3rgs4r 27 2 insufficiency insufficiency NN cord-017142-vx3rgs4r 27 3 in in IN cord-017142-vx3rgs4r 27 4 MM MM NNP cord-017142-vx3rgs4r 27 5 is be VBZ cord-017142-vx3rgs4r 27 6 a a DT cord-017142-vx3rgs4r 27 7 medical medical JJ cord-017142-vx3rgs4r 27 8 emergency emergency NN cord-017142-vx3rgs4r 27 9 that that WDT cord-017142-vx3rgs4r 27 10 needs need VBZ cord-017142-vx3rgs4r 27 11 immediate immediate JJ cord-017142-vx3rgs4r 27 12 work work NN cord-017142-vx3rgs4r 27 13 - - HYPH cord-017142-vx3rgs4r 27 14 up up NN cord-017142-vx3rgs4r 27 15 and and CC cord-017142-vx3rgs4r 27 16 management management NN cord-017142-vx3rgs4r 27 17 . . . cord-017142-vx3rgs4r 28 1 There there EX cord-017142-vx3rgs4r 28 2 is be VBZ cord-017142-vx3rgs4r 28 3 a a DT cord-017142-vx3rgs4r 28 4 wide wide JJ cord-017142-vx3rgs4r 28 5 variation variation NN cord-017142-vx3rgs4r 28 6 in in IN cord-017142-vx3rgs4r 28 7 data datum NNS cord-017142-vx3rgs4r 28 8 reporting report VBG cord-017142-vx3rgs4r 28 9 on on IN cord-017142-vx3rgs4r 28 10 the the DT cord-017142-vx3rgs4r 28 11 incidence incidence NN cord-017142-vx3rgs4r 28 12 and and CC cord-017142-vx3rgs4r 28 13 the the DT cord-017142-vx3rgs4r 28 14 degree degree NN cord-017142-vx3rgs4r 28 15 of of IN cord-017142-vx3rgs4r 28 16 renal renal JJ cord-017142-vx3rgs4r 28 17 failure failure NN cord-017142-vx3rgs4r 28 18 due due IN cord-017142-vx3rgs4r 28 19 to to IN cord-017142-vx3rgs4r 28 20 differences difference NNS cord-017142-vx3rgs4r 28 21 in in IN cord-017142-vx3rgs4r 28 22 the the DT cord-017142-vx3rgs4r 28 23 definitions definition NNS cord-017142-vx3rgs4r 28 24 of of IN cord-017142-vx3rgs4r 28 25 renal renal JJ cord-017142-vx3rgs4r 28 26 dysfunction dysfunction NN cord-017142-vx3rgs4r 28 27 , , , cord-017142-vx3rgs4r 28 28 sample sample NN cord-017142-vx3rgs4r 28 29 sizes size NNS cord-017142-vx3rgs4r 28 30 of of IN cord-017142-vx3rgs4r 28 31 studies study NNS cord-017142-vx3rgs4r 28 32 , , , cord-017142-vx3rgs4r 28 33 and and CC cord-017142-vx3rgs4r 28 34 populations population NNS cord-017142-vx3rgs4r 28 35 assessed assess VBN cord-017142-vx3rgs4r 28 36 . . . cord-017142-vx3rgs4r 29 1 Renal renal JJ cord-017142-vx3rgs4r 29 2 dysfunction dysfunction NN cord-017142-vx3rgs4r 29 3 occurs occur VBZ cord-017142-vx3rgs4r 29 4 in in IN cord-017142-vx3rgs4r 29 5 more more JJR cord-017142-vx3rgs4r 29 6 than than IN cord-017142-vx3rgs4r 29 7 a a DT cord-017142-vx3rgs4r 29 8 third third NN cord-017142-vx3rgs4r 29 9 to to IN cord-017142-vx3rgs4r 29 10 half half NN cord-017142-vx3rgs4r 29 11 of of IN cord-017142-vx3rgs4r 29 12 newly newly RB cord-017142-vx3rgs4r 29 13 diagnosed diagnose VBN cord-017142-vx3rgs4r 29 14 patients patient NNS cord-017142-vx3rgs4r 29 15 ( ( -LRB- cord-017142-vx3rgs4r 29 16 serum serum NN cord-017142-vx3rgs4r 29 17 creatinine creatinine NN cord-017142-vx3rgs4r 29 18 ( ( -LRB- cord-017142-vx3rgs4r 29 19 sCr scr NN cord-017142-vx3rgs4r 29 20 ) ) -RRB- cord-017142-vx3rgs4r 29 21 above above IN cord-017142-vx3rgs4r 29 22 the the DT cord-017142-vx3rgs4r 29 23 upper upper JJ cord-017142-vx3rgs4r 29 24 normal normal JJ cord-017142-vx3rgs4r 29 25 limit limit NN cord-017142-vx3rgs4r 29 26 or or CC cord-017142-vx3rgs4r 29 27 2 2 CD cord-017142-vx3rgs4r 29 28 mg mg NNP cord-017142-vx3rgs4r 29 29 / / SYM cord-017142-vx3rgs4r 29 30 dL dl NN cord-017142-vx3rgs4r 29 31 or or CC cord-017142-vx3rgs4r 29 32 eGFR eGFR VBD cord-017142-vx3rgs4r 29 33 < < XX cord-017142-vx3rgs4r 29 34 60 60 CD cord-017142-vx3rgs4r 29 35 mL/ mL/ NNS cord-017142-vx3rgs4r 30 1 min/1.73 min/1.73 NNP cord-017142-vx3rgs4r 30 2 m m CD cord-017142-vx3rgs4r 30 3 2 2 CD cord-017142-vx3rgs4r 30 4 ) ) -RRB- cord-017142-vx3rgs4r 30 5 . . . cord-017142-vx3rgs4r 31 1 Table table NN cord-017142-vx3rgs4r 31 2 1 1 CD cord-017142-vx3rgs4r 31 3 details detail NNS cord-017142-vx3rgs4r 32 1 the the DT cord-017142-vx3rgs4r 32 2 list list NN cord-017142-vx3rgs4r 32 3 of of IN cord-017142-vx3rgs4r 32 4 common common JJ cord-017142-vx3rgs4r 32 5 causes cause NNS cord-017142-vx3rgs4r 32 6 of of IN cord-017142-vx3rgs4r 32 7 renal renal JJ cord-017142-vx3rgs4r 32 8 dysfunction dysfunction NN cord-017142-vx3rgs4r 32 9 encountered encounter VBN cord-017142-vx3rgs4r 32 10 in in IN cord-017142-vx3rgs4r 32 11 clinical clinical JJ cord-017142-vx3rgs4r 32 12 practice practice NN cord-017142-vx3rgs4r 32 13 . . . cord-017142-vx3rgs4r 33 1 As as IN cord-017142-vx3rgs4r 33 2 per per IN cord-017142-vx3rgs4r 33 3 the the DT cord-017142-vx3rgs4r 33 4 RIFLE rifle NN cord-017142-vx3rgs4r 33 5 risk risk NN cord-017142-vx3rgs4r 33 6 category category NN cord-017142-vx3rgs4r 33 7 , , , cord-017142-vx3rgs4r 33 8 approximately approximately RB cord-017142-vx3rgs4r 33 9 10 10 CD cord-017142-vx3rgs4r 33 10 - - SYM cord-017142-vx3rgs4r 33 11 15 15 CD cord-017142-vx3rgs4r 33 12 % % NN cord-017142-vx3rgs4r 33 13 of of IN cord-017142-vx3rgs4r 33 14 patients patient NNS cord-017142-vx3rgs4r 33 15 develop develop VB cord-017142-vx3rgs4r 33 16 renal renal JJ cord-017142-vx3rgs4r 33 17 failure failure NN cord-017142-vx3rgs4r 33 18 , , , cord-017142-vx3rgs4r 33 19 and and CC cord-017142-vx3rgs4r 33 20 half half RB cord-017142-vx3rgs4r 33 21 become become VBN cord-017142-vx3rgs4r 33 22 dialysis dialysis NN cord-017142-vx3rgs4r 33 23 dependent dependent JJ cord-017142-vx3rgs4r 33 24 [ [ -LRB- cord-017142-vx3rgs4r 33 25 9 9 CD cord-017142-vx3rgs4r 33 26 , , , cord-017142-vx3rgs4r 33 27 64 64 CD cord-017142-vx3rgs4r 33 28 ] ] -RRB- cord-017142-vx3rgs4r 33 29 . . . cord-017142-vx3rgs4r 34 1 Even even RB cord-017142-vx3rgs4r 34 2 after after IN cord-017142-vx3rgs4r 34 3 an an DT cord-017142-vx3rgs4r 34 4 initial initial JJ cord-017142-vx3rgs4r 34 5 renal renal JJ cord-017142-vx3rgs4r 34 6 recovery recovery NN cord-017142-vx3rgs4r 34 7 with with IN cord-017142-vx3rgs4r 34 8 appropriate appropriate JJ cord-017142-vx3rgs4r 34 9 myeloma myeloma NN cord-017142-vx3rgs4r 34 10 - - HYPH cord-017142-vx3rgs4r 34 11 directed direct VBN cord-017142-vx3rgs4r 34 12 therapy therapy NN cord-017142-vx3rgs4r 34 13 , , , cord-017142-vx3rgs4r 34 14 more more JJR cord-017142-vx3rgs4r 34 15 than than IN cord-017142-vx3rgs4r 34 16 half half NN cord-017142-vx3rgs4r 34 17 of of IN cord-017142-vx3rgs4r 34 18 patients patient NNS cord-017142-vx3rgs4r 34 19 can can MD cord-017142-vx3rgs4r 34 20 still still RB cord-017142-vx3rgs4r 34 21 develop develop VB cord-017142-vx3rgs4r 34 22 renal renal JJ cord-017142-vx3rgs4r 34 23 failure failure NN cord-017142-vx3rgs4r 34 24 during during IN cord-017142-vx3rgs4r 34 25 the the DT cord-017142-vx3rgs4r 34 26 disease disease NN cord-017142-vx3rgs4r 34 27 course course NN cord-017142-vx3rgs4r 34 28 . . . cord-017142-vx3rgs4r 35 1 In in IN cord-017142-vx3rgs4r 35 2 the the DT cord-017142-vx3rgs4r 35 3 absence absence NN cord-017142-vx3rgs4r 35 4 of of IN cord-017142-vx3rgs4r 35 5 renal renal JJ cord-017142-vx3rgs4r 35 6 recovery recovery NN cord-017142-vx3rgs4r 35 7 , , , cord-017142-vx3rgs4r 35 8 mortality mortality NN cord-017142-vx3rgs4r 35 9 risk risk NN cord-017142-vx3rgs4r 35 10 is be VBZ cord-017142-vx3rgs4r 35 11 reported report VBN cord-017142-vx3rgs4r 35 12 to to TO cord-017142-vx3rgs4r 35 13 be be VB cord-017142-vx3rgs4r 35 14 higher high JJR cord-017142-vx3rgs4r 35 15 in in IN cord-017142-vx3rgs4r 35 16 this this DT cord-017142-vx3rgs4r 35 17 population population NN cord-017142-vx3rgs4r 35 18 with with IN cord-017142-vx3rgs4r 35 19 shortened shorten VBN cord-017142-vx3rgs4r 35 20 overall overall JJ cord-017142-vx3rgs4r 35 21 survival survival NN cord-017142-vx3rgs4r 35 22 . . . cord-017142-vx3rgs4r 36 1 With with IN cord-017142-vx3rgs4r 36 2 novel novel JJ cord-017142-vx3rgs4r 36 3 therapies therapy NNS cord-017142-vx3rgs4r 36 4 in in IN cord-017142-vx3rgs4r 36 5 myeloma myeloma NN cord-017142-vx3rgs4r 36 6 , , , cord-017142-vx3rgs4r 36 7 reversibility reversibility NN cord-017142-vx3rgs4r 36 8 of of IN cord-017142-vx3rgs4r 36 9 renal renal JJ cord-017142-vx3rgs4r 36 10 insufficiency insufficiency NN cord-017142-vx3rgs4r 36 11 ( ( -LRB- cord-017142-vx3rgs4r 36 12 RI RI NNP cord-017142-vx3rgs4r 36 13 ) ) -RRB- cord-017142-vx3rgs4r 36 14 is be VBZ cord-017142-vx3rgs4r 36 15 associated associate VBN cord-017142-vx3rgs4r 36 16 with with IN cord-017142-vx3rgs4r 36 17 improved improved JJ cord-017142-vx3rgs4r 36 18 survival survival NN cord-017142-vx3rgs4r 36 19 with with IN cord-017142-vx3rgs4r 36 20 some some DT cord-017142-vx3rgs4r 36 21 studies study NNS cord-017142-vx3rgs4r 36 22 demonstrating demonstrate VBG cord-017142-vx3rgs4r 36 23 similar similar JJ cord-017142-vx3rgs4r 36 24 survival survival NN cord-017142-vx3rgs4r 36 25 in in IN cord-017142-vx3rgs4r 36 26 patients patient NNS cord-017142-vx3rgs4r 36 27 who who WP cord-017142-vx3rgs4r 36 28 recover recover VBP cord-017142-vx3rgs4r 36 29 from from IN cord-017142-vx3rgs4r 36 30 acute acute JJ cord-017142-vx3rgs4r 36 31 kidney kidney NN cord-017142-vx3rgs4r 36 32 injury injury NN cord-017142-vx3rgs4r 36 33 ( ( -LRB- cord-017142-vx3rgs4r 36 34 AKI AKI NNP cord-017142-vx3rgs4r 36 35 ) ) -RRB- cord-017142-vx3rgs4r 36 36 and and CC cord-017142-vx3rgs4r 36 37 those those DT cord-017142-vx3rgs4r 36 38 without without IN cord-017142-vx3rgs4r 36 39 renal renal JJ cord-017142-vx3rgs4r 36 40 impairment impairment NN cord-017142-vx3rgs4r 36 41 . . . cord-017142-vx3rgs4r 37 1 Therefore therefore RB cord-017142-vx3rgs4r 37 2 , , , cord-017142-vx3rgs4r 37 3 achieving achieve VBG cord-017142-vx3rgs4r 37 4 renal renal JJ cord-017142-vx3rgs4r 37 5 recovery recovery NN cord-017142-vx3rgs4r 37 6 is be VBZ cord-017142-vx3rgs4r 37 7 of of IN cord-017142-vx3rgs4r 37 8 priority priority NN cord-017142-vx3rgs4r 37 9 and and CC cord-017142-vx3rgs4r 37 10 the the DT cord-017142-vx3rgs4r 37 11 main main JJ cord-017142-vx3rgs4r 37 12 goal goal NN cord-017142-vx3rgs4r 37 13 in in IN cord-017142-vx3rgs4r 37 14 these these DT cord-017142-vx3rgs4r 37 15 patients patient NNS cord-017142-vx3rgs4r 37 16 [ [ -LRB- cord-017142-vx3rgs4r 37 17 1 1 CD cord-017142-vx3rgs4r 37 18 , , , cord-017142-vx3rgs4r 37 19 11 11 CD cord-017142-vx3rgs4r 37 20 , , , cord-017142-vx3rgs4r 37 21 29 29 CD cord-017142-vx3rgs4r 37 22 , , , cord-017142-vx3rgs4r 37 23 43 43 CD cord-017142-vx3rgs4r 37 24 , , , cord-017142-vx3rgs4r 37 25 125 125 CD cord-017142-vx3rgs4r 37 26 ] ] -RRB- cord-017142-vx3rgs4r 37 27 . . . cord-017142-vx3rgs4r 38 1 MM MM NNP cord-017142-vx3rgs4r 38 2 kidney kidney NN cord-017142-vx3rgs4r 38 3 : : : cord-017142-vx3rgs4r 38 4 In in IN cord-017142-vx3rgs4r 38 5 many many JJ cord-017142-vx3rgs4r 38 6 cases case NNS cord-017142-vx3rgs4r 38 7 ( ( -LRB- cord-017142-vx3rgs4r 38 8 approximately approximately RB cord-017142-vx3rgs4r 38 9 40 40 CD cord-017142-vx3rgs4r 38 10 - - SYM cord-017142-vx3rgs4r 38 11 50 50 CD cord-017142-vx3rgs4r 38 12 % % NN cord-017142-vx3rgs4r 38 13 of of IN cord-017142-vx3rgs4r 38 14 cases case NNS cord-017142-vx3rgs4r 38 15 ) ) -RRB- cord-017142-vx3rgs4r 38 16 , , , cord-017142-vx3rgs4r 38 17 renal renal JJ cord-017142-vx3rgs4r 38 18 damage damage NN cord-017142-vx3rgs4r 38 19 is be VBZ cord-017142-vx3rgs4r 38 20 caused cause VBN cord-017142-vx3rgs4r 38 21 by by IN cord-017142-vx3rgs4r 38 22 the the DT cord-017142-vx3rgs4r 38 23 disproportionate disproportionate JJ cord-017142-vx3rgs4r 38 24 free free JJ cord-017142-vx3rgs4r 38 25 light light JJ cord-017142-vx3rgs4r 38 26 chain chain NN cord-017142-vx3rgs4r 38 27 ( ( -LRB- cord-017142-vx3rgs4r 38 28 FLC FLC NNP cord-017142-vx3rgs4r 38 29 ) ) -RRB- cord-017142-vx3rgs4r 38 30 excretion excretion NN cord-017142-vx3rgs4r 38 31 through through IN cord-017142-vx3rgs4r 38 32 kidney kidney NN cord-017142-vx3rgs4r 38 33 glomeruli glomerulus NNS cord-017142-vx3rgs4r 38 34 , , , cord-017142-vx3rgs4r 38 35 buildup buildup NN cord-017142-vx3rgs4r 38 36 of of IN cord-017142-vx3rgs4r 38 37 light light JJ cord-017142-vx3rgs4r 38 38 chains chain NNS cord-017142-vx3rgs4r 38 39 in in IN cord-017142-vx3rgs4r 38 40 distal distal JJ cord-017142-vx3rgs4r 38 41 tubules tubule NNS cord-017142-vx3rgs4r 38 42 , , , cord-017142-vx3rgs4r 38 43 and and CC cord-017142-vx3rgs4r 38 44 cast cast NN cord-017142-vx3rgs4r 38 45 formation formation NN cord-017142-vx3rgs4r 38 46 which which WDT cord-017142-vx3rgs4r 38 47 further further RB cord-017142-vx3rgs4r 38 48 leads lead VBZ cord-017142-vx3rgs4r 38 49 to to IN cord-017142-vx3rgs4r 38 50 renal renal JJ cord-017142-vx3rgs4r 38 51 tubular tubular JJ cord-017142-vx3rgs4r 38 52 obstruction obstruction NN cord-017142-vx3rgs4r 38 53 , , , cord-017142-vx3rgs4r 38 54 an an DT cord-017142-vx3rgs4r 38 55 entity entity NN cord-017142-vx3rgs4r 38 56 referred refer VBN cord-017142-vx3rgs4r 38 57 to to IN cord-017142-vx3rgs4r 38 58 as as IN cord-017142-vx3rgs4r 38 59 MM MM NNP cord-017142-vx3rgs4r 38 60 kidney kidney NN cord-017142-vx3rgs4r 38 61 . . . cord-017142-vx3rgs4r 39 1 The the DT cord-017142-vx3rgs4r 39 2 tubules tubule NNS cord-017142-vx3rgs4r 39 3 eventually eventually RB cord-017142-vx3rgs4r 39 4 rupture rupture VBP cord-017142-vx3rgs4r 39 5 and and CC cord-017142-vx3rgs4r 39 6 FLC FLC NNP cord-017142-vx3rgs4r 39 7 extravasates extravasate NNS cord-017142-vx3rgs4r 39 8 , , , cord-017142-vx3rgs4r 39 9 causing cause VBG cord-017142-vx3rgs4r 39 10 interstitial interstitial JJ cord-017142-vx3rgs4r 39 11 inflammation inflammation NN cord-017142-vx3rgs4r 39 12 and and CC cord-017142-vx3rgs4r 39 13 damage damage NN cord-017142-vx3rgs4r 39 14 . . . cord-017142-vx3rgs4r 40 1 This this DT cord-017142-vx3rgs4r 40 2 is be VBZ cord-017142-vx3rgs4r 40 3 usually usually RB cord-017142-vx3rgs4r 40 4 compounded compound VBN cord-017142-vx3rgs4r 40 5 by by IN cord-017142-vx3rgs4r 40 6 renal renal JJ cord-017142-vx3rgs4r 40 7 injury injury NN cord-017142-vx3rgs4r 40 8 from from IN cord-017142-vx3rgs4r 40 9 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 40 10 , , , cord-017142-vx3rgs4r 40 11 dehydration dehydration NN cord-017142-vx3rgs4r 40 12 , , , cord-017142-vx3rgs4r 40 13 poor poor JJ cord-017142-vx3rgs4r 40 14 intake intake NN cord-017142-vx3rgs4r 40 15 , , , cord-017142-vx3rgs4r 40 16 use use NN cord-017142-vx3rgs4r 40 17 of of IN cord-017142-vx3rgs4r 40 18 nephrotoxic nephrotoxic FW cord-017142-vx3rgs4r 40 19 analgesics analgesic NNS cord-017142-vx3rgs4r 40 20 , , , cord-017142-vx3rgs4r 40 21 IV IV NNP cord-017142-vx3rgs4r 40 22 contrast contrast NN cord-017142-vx3rgs4r 40 23 , , , cord-017142-vx3rgs4r 40 24 use use NN cord-017142-vx3rgs4r 40 25 of of IN cord-017142-vx3rgs4r 40 26 ACE ACE NNP cord-017142-vx3rgs4r 40 27 / / SYM cord-017142-vx3rgs4r 40 28 ARB ARB NNP cord-017142-vx3rgs4r 40 29 blockade blockade NN cord-017142-vx3rgs4r 40 30 , , , cord-017142-vx3rgs4r 40 31 underlying underlie VBG cord-017142-vx3rgs4r 40 32 chronic chronic JJ cord-017142-vx3rgs4r 40 33 kidney kidney NN cord-017142-vx3rgs4r 40 34 disorder disorder NN cord-017142-vx3rgs4r 40 35 , , , cord-017142-vx3rgs4r 40 36 and/or and/or CC cord-017142-vx3rgs4r 40 37 underlying underlie VBG cord-017142-vx3rgs4r 40 38 infection infection NN cord-017142-vx3rgs4r 40 39 . . . cord-017142-vx3rgs4r 41 1 Early early JJ cord-017142-vx3rgs4r 41 2 diagnosis diagnosis NN cord-017142-vx3rgs4r 41 3 and and CC cord-017142-vx3rgs4r 41 4 timely timely JJ cord-017142-vx3rgs4r 41 5 therapeutic therapeutic JJ cord-017142-vx3rgs4r 41 6 intervention intervention NN cord-017142-vx3rgs4r 41 7 at at IN cord-017142-vx3rgs4r 41 8 the the DT cord-017142-vx3rgs4r 41 9 time time NN cord-017142-vx3rgs4r 41 10 of of IN cord-017142-vx3rgs4r 41 11 presentation presentation NN cord-017142-vx3rgs4r 41 12 to to IN cord-017142-vx3rgs4r 41 13 the the DT cord-017142-vx3rgs4r 41 14 emergency emergency NN cord-017142-vx3rgs4r 41 15 center center NN cord-017142-vx3rgs4r 41 16 are be VBP cord-017142-vx3rgs4r 41 17 critical critical JJ cord-017142-vx3rgs4r 41 18 . . . cord-017142-vx3rgs4r 42 1 Therapy therapy NN cord-017142-vx3rgs4r 42 2 should should MD cord-017142-vx3rgs4r 42 3 include include VB cord-017142-vx3rgs4r 42 4 aggressive aggressive JJ cord-017142-vx3rgs4r 42 5 resuscitation resuscitation NN cord-017142-vx3rgs4r 42 6 with with IN cord-017142-vx3rgs4r 42 7 IV IV NNP cord-017142-vx3rgs4r 42 8 fluids fluid NNS cord-017142-vx3rgs4r 42 9 in in IN cord-017142-vx3rgs4r 42 10 efforts effort NNS cord-017142-vx3rgs4r 42 11 to to TO cord-017142-vx3rgs4r 42 12 maintain maintain VB cord-017142-vx3rgs4r 42 13 normal normal JJ cord-017142-vx3rgs4r 42 14 urine urine NN cord-017142-vx3rgs4r 42 15 output output NN cord-017142-vx3rgs4r 42 16 , , , cord-017142-vx3rgs4r 42 17 treating treat VBG cord-017142-vx3rgs4r 42 18 concomitant concomitant JJ cord-017142-vx3rgs4r 42 19 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 42 20 and and CC cord-017142-vx3rgs4r 42 21 other other JJ cord-017142-vx3rgs4r 42 22 electrolyte electrolyte JJ cord-017142-vx3rgs4r 42 23 imbalances imbalance NNS cord-017142-vx3rgs4r 42 24 , , , cord-017142-vx3rgs4r 42 25 initiating initiate VBG cord-017142-vx3rgs4r 42 26 treatment treatment NN cord-017142-vx3rgs4r 42 27 of of IN cord-017142-vx3rgs4r 42 28 underlying underlie VBG cord-017142-vx3rgs4r 42 29 infection infection NN cord-017142-vx3rgs4r 42 30 , , , cord-017142-vx3rgs4r 42 31 and and CC cord-017142-vx3rgs4r 42 32 avoiding avoid VBG cord-017142-vx3rgs4r 42 33 nephrotoxins nephrotoxin NNS cord-017142-vx3rgs4r 42 34 . . . cord-017142-vx3rgs4r 43 1 A a DT cord-017142-vx3rgs4r 43 2 multidisciplinary multidisciplinary JJ cord-017142-vx3rgs4r 43 3 approach approach NN cord-017142-vx3rgs4r 43 4 with with IN cord-017142-vx3rgs4r 43 5 hematology hematology NN cord-017142-vx3rgs4r 43 6 and and CC cord-017142-vx3rgs4r 43 7 nephrology nephrology NN cord-017142-vx3rgs4r 43 8 consults consult VBZ cord-017142-vx3rgs4r 43 9 is be VBZ cord-017142-vx3rgs4r 43 10 paramount paramount NN cord-017142-vx3rgs4r 43 11 to to TO cord-017142-vx3rgs4r 43 12 optimize optimize VB cord-017142-vx3rgs4r 43 13 care care NN cord-017142-vx3rgs4r 43 14 in in IN cord-017142-vx3rgs4r 43 15 these these DT cord-017142-vx3rgs4r 43 16 patients patient NNS cord-017142-vx3rgs4r 43 17 . . . cord-017142-vx3rgs4r 44 1 Suspicion suspicion NN cord-017142-vx3rgs4r 44 2 of of IN cord-017142-vx3rgs4r 44 3 cast cast NN cord-017142-vx3rgs4r 44 4 nephropathy nephropathy NN cord-017142-vx3rgs4r 44 5 in in IN cord-017142-vx3rgs4r 44 6 newly newly RB cord-017142-vx3rgs4r 44 7 diagnosed diagnose VBN cord-017142-vx3rgs4r 44 8 myeloma myeloma NN cord-017142-vx3rgs4r 44 9 patients patient NNS cord-017142-vx3rgs4r 44 10 with with IN cord-017142-vx3rgs4r 44 11 serum serum NN cord-017142-vx3rgs4r 44 12 FLC FLC NNP cord-017142-vx3rgs4r 44 13 above above IN cord-017142-vx3rgs4r 44 14 1000 1000 CD cord-017142-vx3rgs4r 44 15 mg mg NNP cord-017142-vx3rgs4r 44 16 / / SYM cord-017142-vx3rgs4r 44 17 L L NNP cord-017142-vx3rgs4r 44 18 should should MD cord-017142-vx3rgs4r 44 19 be be VB cord-017142-vx3rgs4r 44 20 high high JJ cord-017142-vx3rgs4r 44 21 , , , cord-017142-vx3rgs4r 44 22 especially especially RB cord-017142-vx3rgs4r 44 23 if if IN cord-017142-vx3rgs4r 44 24 associated associate VBN cord-017142-vx3rgs4r 44 25 selective selective JJ cord-017142-vx3rgs4r 44 26 proteinuria proteinuria NN cord-017142-vx3rgs4r 44 27 composed compose VBN cord-017142-vx3rgs4r 44 28 of of IN cord-017142-vx3rgs4r 44 29 FLC FLC NNP cord-017142-vx3rgs4r 44 30 / / SYM cord-017142-vx3rgs4r 44 31 BJP BJP NNP cord-017142-vx3rgs4r 44 32 exists exist VBZ cord-017142-vx3rgs4r 44 33 , , , cord-017142-vx3rgs4r 44 34 as as IN cord-017142-vx3rgs4r 44 35 the the DT cord-017142-vx3rgs4r 44 36 degree degree NN cord-017142-vx3rgs4r 44 37 of of IN cord-017142-vx3rgs4r 44 38 renal renal JJ cord-017142-vx3rgs4r 44 39 injury injury NN cord-017142-vx3rgs4r 44 40 is be VBZ cord-017142-vx3rgs4r 44 41 usually usually RB cord-017142-vx3rgs4r 44 42 related relate VBN cord-017142-vx3rgs4r 44 43 to to IN cord-017142-vx3rgs4r 44 44 tumor tumor NN cord-017142-vx3rgs4r 44 45 load load NN cord-017142-vx3rgs4r 44 46 [ [ -LRB- cord-017142-vx3rgs4r 44 47 55 55 CD cord-017142-vx3rgs4r 44 48 ] ] -RRB- cord-017142-vx3rgs4r 44 49 . . . cord-017142-vx3rgs4r 45 1 A a DT cord-017142-vx3rgs4r 45 2 percutaneous percutaneous JJ cord-017142-vx3rgs4r 45 3 kidney kidney NN cord-017142-vx3rgs4r 45 4 biopsy biopsy NN cord-017142-vx3rgs4r 45 5 with with IN cord-017142-vx3rgs4r 45 6 histology histology NN cord-017142-vx3rgs4r 45 7 is be VBZ cord-017142-vx3rgs4r 45 8 not not RB cord-017142-vx3rgs4r 45 9 required require VBN cord-017142-vx3rgs4r 45 10 to to TO cord-017142-vx3rgs4r 45 11 initiate initiate VB cord-017142-vx3rgs4r 45 12 treatment treatment NN cord-017142-vx3rgs4r 45 13 if if IN cord-017142-vx3rgs4r 45 14 myeloma myeloma NN cord-017142-vx3rgs4r 45 15 has have VBZ cord-017142-vx3rgs4r 45 16 been be VBN cord-017142-vx3rgs4r 45 17 confirmed confirm VBN cord-017142-vx3rgs4r 45 18 but but CC cord-017142-vx3rgs4r 45 19 can can MD cord-017142-vx3rgs4r 45 20 be be VB cord-017142-vx3rgs4r 45 21 helpful helpful JJ cord-017142-vx3rgs4r 45 22 to to TO cord-017142-vx3rgs4r 45 23 confirm confirm VB cord-017142-vx3rgs4r 45 24 the the DT cord-017142-vx3rgs4r 45 25 diagnosis diagnosis NN cord-017142-vx3rgs4r 45 26 , , , cord-017142-vx3rgs4r 45 27 assess assess VB cord-017142-vx3rgs4r 45 28 concomitant concomitant JJ cord-017142-vx3rgs4r 45 29 light light JJ cord-017142-vx3rgs4r 45 30 chain chain NN cord-017142-vx3rgs4r 45 31 or or CC cord-017142-vx3rgs4r 45 32 amyloid amyloid NN cord-017142-vx3rgs4r 45 33 deposition deposition NN cord-017142-vx3rgs4r 45 34 disease disease NN cord-017142-vx3rgs4r 45 35 , , , cord-017142-vx3rgs4r 45 36 and and CC cord-017142-vx3rgs4r 45 37 predict predict VB cord-017142-vx3rgs4r 45 38 prognosis prognosis NN cord-017142-vx3rgs4r 45 39 . . . cord-017142-vx3rgs4r 46 1 The the DT cord-017142-vx3rgs4r 46 2 need need NN cord-017142-vx3rgs4r 46 3 for for IN cord-017142-vx3rgs4r 46 4 a a DT cord-017142-vx3rgs4r 46 5 renal renal JJ cord-017142-vx3rgs4r 46 6 biopsy biopsy NN cord-017142-vx3rgs4r 46 7 should should MD cord-017142-vx3rgs4r 46 8 be be VB cord-017142-vx3rgs4r 46 9 discussed discuss VBN cord-017142-vx3rgs4r 46 10 for for IN cord-017142-vx3rgs4r 46 11 patients patient NNS cord-017142-vx3rgs4r 46 12 with with IN cord-017142-vx3rgs4r 46 13 lower low JJR cord-017142-vx3rgs4r 46 14 levels level NNS cord-017142-vx3rgs4r 46 15 of of IN cord-017142-vx3rgs4r 46 16 toxic toxic JJ cord-017142-vx3rgs4r 46 17 FLC FLC NNP cord-017142-vx3rgs4r 46 18 , , , cord-017142-vx3rgs4r 46 19 as as IN cord-017142-vx3rgs4r 46 20 these these DT cord-017142-vx3rgs4r 46 21 patients patient NNS cord-017142-vx3rgs4r 46 22 are be VBP cord-017142-vx3rgs4r 46 23 more more RBR cord-017142-vx3rgs4r 46 24 likely likely JJ cord-017142-vx3rgs4r 46 25 to to TO cord-017142-vx3rgs4r 46 26 have have VB cord-017142-vx3rgs4r 46 27 alternate alternate JJ cord-017142-vx3rgs4r 46 28 etiologies etiology NNS cord-017142-vx3rgs4r 46 29 for for IN cord-017142-vx3rgs4r 46 30 their -PRON- PRP$ cord-017142-vx3rgs4r 46 31 RI RI NNP cord-017142-vx3rgs4r 46 32 . . . cord-017142-vx3rgs4r 47 1 In in IN cord-017142-vx3rgs4r 47 2 patients patient NNS cord-017142-vx3rgs4r 47 3 with with IN cord-017142-vx3rgs4r 47 4 significant significant JJ cord-017142-vx3rgs4r 47 5 light light JJ cord-017142-vx3rgs4r 47 6 chain chain NN cord-017142-vx3rgs4r 47 7 burden burden NN cord-017142-vx3rgs4r 47 8 , , , cord-017142-vx3rgs4r 47 9 it -PRON- PRP cord-017142-vx3rgs4r 47 10 is be VBZ cord-017142-vx3rgs4r 47 11 critical critical JJ cord-017142-vx3rgs4r 47 12 to to TO cord-017142-vx3rgs4r 47 13 begin begin VB cord-017142-vx3rgs4r 47 14 treatment treatment NN cord-017142-vx3rgs4r 47 15 immediately immediately RB cord-017142-vx3rgs4r 47 16 with with IN cord-017142-vx3rgs4r 47 17 renal renal JJ cord-017142-vx3rgs4r 47 18 recovery recovery NN cord-017142-vx3rgs4r 47 19 as as IN cord-017142-vx3rgs4r 47 20 the the DT cord-017142-vx3rgs4r 47 21 major major JJ cord-017142-vx3rgs4r 47 22 immediate immediate JJ cord-017142-vx3rgs4r 47 23 goal goal NN cord-017142-vx3rgs4r 47 24 . . . cord-017142-vx3rgs4r 48 1 The the DT cord-017142-vx3rgs4r 48 2 only only JJ cord-017142-vx3rgs4r 48 3 proven prove VBN cord-017142-vx3rgs4r 48 4 modality modality NN cord-017142-vx3rgs4r 48 5 with with IN cord-017142-vx3rgs4r 48 6 the the DT cord-017142-vx3rgs4r 48 7 best good JJS cord-017142-vx3rgs4r 48 8 chance chance NN cord-017142-vx3rgs4r 48 9 of of IN cord-017142-vx3rgs4r 48 10 renal renal JJ cord-017142-vx3rgs4r 48 11 recovery recovery NN cord-017142-vx3rgs4r 48 12 is be VBZ cord-017142-vx3rgs4r 48 13 rapid rapid JJ cord-017142-vx3rgs4r 48 14 cytoreduction cytoreduction NN cord-017142-vx3rgs4r 48 15 to to TO cord-017142-vx3rgs4r 48 16 decrease decrease VB cord-017142-vx3rgs4r 48 17 light light JJ cord-017142-vx3rgs4r 48 18 chain chain NN cord-017142-vx3rgs4r 48 19 production production NN cord-017142-vx3rgs4r 48 20 . . . cord-017142-vx3rgs4r 49 1 Newer new JJR cord-017142-vx3rgs4r 49 2 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 49 3 agents agent NNS cord-017142-vx3rgs4r 49 4 lower low JJR cord-017142-vx3rgs4r 49 5 FLCs flc NNS cord-017142-vx3rgs4r 49 6 quickly quickly RB cord-017142-vx3rgs4r 49 7 , , , cord-017142-vx3rgs4r 49 8 especially especially RB cord-017142-vx3rgs4r 49 9 with with IN cord-017142-vx3rgs4r 49 10 a a DT cord-017142-vx3rgs4r 49 11 combinatorial combinatorial JJ cord-017142-vx3rgs4r 49 12 approach approach NN cord-017142-vx3rgs4r 49 13 . . . cord-017142-vx3rgs4r 50 1 Many many JJ cord-017142-vx3rgs4r 50 2 clinical clinical JJ cord-017142-vx3rgs4r 50 3 trials trial NNS cord-017142-vx3rgs4r 50 4 have have VBP cord-017142-vx3rgs4r 50 5 shown show VBN cord-017142-vx3rgs4r 50 6 that that IN cord-017142-vx3rgs4r 50 7 a a DT cord-017142-vx3rgs4r 50 8 bortezomib bortezomib NN cord-017142-vx3rgs4r 50 9 - - HYPH cord-017142-vx3rgs4r 50 10 dexamethasone dexamethasone VBN cord-017142-vx3rgs4r 50 11 combination combination NN cord-017142-vx3rgs4r 50 12 regimen regimen NN cord-017142-vx3rgs4r 50 13 achieves achieve VBZ cord-017142-vx3rgs4r 50 14 this this DT cord-017142-vx3rgs4r 50 15 goal goal NN cord-017142-vx3rgs4r 50 16 [ [ -LRB- cord-017142-vx3rgs4r 50 17 30 30 CD cord-017142-vx3rgs4r 50 18 ] ] -RRB- cord-017142-vx3rgs4r 50 19 . . . cord-017142-vx3rgs4r 51 1 Attaining attain VBG cord-017142-vx3rgs4r 51 2 a a DT cord-017142-vx3rgs4r 51 3 pre pre JJ cord-017142-vx3rgs4r 51 4 - - JJ cord-017142-vx3rgs4r 51 5 dialysis dialysis JJ cord-017142-vx3rgs4r 51 6 serum serum NN cord-017142-vx3rgs4r 51 7 - - HYPH cord-017142-vx3rgs4r 51 8 free free JJ cord-017142-vx3rgs4r 51 9 light light JJ cord-017142-vx3rgs4r 51 10 chain chain NN cord-017142-vx3rgs4r 51 11 level level NN cord-017142-vx3rgs4r 51 12 below below IN cord-017142-vx3rgs4r 51 13 500 500 CD cord-017142-vx3rgs4r 51 14 mg mg NNP cord-017142-vx3rgs4r 51 15 / / SYM cord-017142-vx3rgs4r 51 16 L L NNP cord-017142-vx3rgs4r 51 17 and and CC cord-017142-vx3rgs4r 51 18 a a DT cord-017142-vx3rgs4r 51 19 60 60 CD cord-017142-vx3rgs4r 51 20 % % NN cord-017142-vx3rgs4r 51 21 reduction reduction NN cord-017142-vx3rgs4r 51 22 after after IN cord-017142-vx3rgs4r 51 23 the the DT cord-017142-vx3rgs4r 51 24 first first JJ cord-017142-vx3rgs4r 51 25 cycle cycle NN cord-017142-vx3rgs4r 51 26 of of IN cord-017142-vx3rgs4r 51 27 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 51 28 are be VBP cord-017142-vx3rgs4r 51 29 independent independent JJ cord-017142-vx3rgs4r 51 30 predictive predictive JJ cord-017142-vx3rgs4r 51 31 factors factor NNS cord-017142-vx3rgs4r 51 32 of of IN cord-017142-vx3rgs4r 51 33 renal renal JJ cord-017142-vx3rgs4r 51 34 recovery recovery NN cord-017142-vx3rgs4r 51 35 and and CC cord-017142-vx3rgs4r 51 36 hemodialysis hemodialysis NN cord-017142-vx3rgs4r 51 37 independence independence NN cord-017142-vx3rgs4r 51 38 at at IN cord-017142-vx3rgs4r 51 39 1 1 CD cord-017142-vx3rgs4r 51 40 year year NN cord-017142-vx3rgs4r 51 41 [ [ -LRB- cord-017142-vx3rgs4r 51 42 56 56 CD cord-017142-vx3rgs4r 51 43 , , , cord-017142-vx3rgs4r 51 44 57 57 CD cord-017142-vx3rgs4r 51 45 ] ] -RRB- cord-017142-vx3rgs4r 51 46 . . . cord-017142-vx3rgs4r 52 1 Hemodialysis hemodialysis NN cord-017142-vx3rgs4r 52 2 or or CC cord-017142-vx3rgs4r 52 3 TPE tpe NN cord-017142-vx3rgs4r 52 4 for for IN cord-017142-vx3rgs4r 52 5 the the DT cord-017142-vx3rgs4r 52 6 sole sole JJ cord-017142-vx3rgs4r 52 7 purpose purpose NN cord-017142-vx3rgs4r 52 8 of of IN cord-017142-vx3rgs4r 52 9 offloading offload VBG cord-017142-vx3rgs4r 52 10 tumor tumor NN cord-017142-vx3rgs4r 52 11 burden burden NN cord-017142-vx3rgs4r 52 12 is be VBZ cord-017142-vx3rgs4r 52 13 currently currently RB cord-017142-vx3rgs4r 52 14 investigational investigational JJ cord-017142-vx3rgs4r 52 15 , , , cord-017142-vx3rgs4r 52 16 as as IN cord-017142-vx3rgs4r 52 17 none none NN cord-017142-vx3rgs4r 52 18 of of IN cord-017142-vx3rgs4r 52 19 the the DT cord-017142-vx3rgs4r 52 20 randomized randomized JJ cord-017142-vx3rgs4r 52 21 trials trial NNS cord-017142-vx3rgs4r 52 22 have have VBP cord-017142-vx3rgs4r 52 23 shown show VBN cord-017142-vx3rgs4r 52 24 a a DT cord-017142-vx3rgs4r 52 25 significant significant JJ cord-017142-vx3rgs4r 52 26 benefit benefit NN cord-017142-vx3rgs4r 52 27 . . . cord-017142-vx3rgs4r 53 1 Though though IN cord-017142-vx3rgs4r 53 2 it -PRON- PRP cord-017142-vx3rgs4r 53 3 takes take VBZ cord-017142-vx3rgs4r 53 4 a a DT cord-017142-vx3rgs4r 53 5 few few JJ cord-017142-vx3rgs4r 53 6 days day NNS cord-017142-vx3rgs4r 53 7 to to IN cord-017142-vx3rgs4r 53 8 weeks week NNS cord-017142-vx3rgs4r 53 9 to to TO cord-017142-vx3rgs4r 53 10 observe observe VB cord-017142-vx3rgs4r 53 11 the the DT cord-017142-vx3rgs4r 53 12 impact impact NN cord-017142-vx3rgs4r 53 13 of of IN cord-017142-vx3rgs4r 53 14 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 53 15 on on IN cord-017142-vx3rgs4r 53 16 light light JJ cord-017142-vx3rgs4r 53 17 chain chain NN cord-017142-vx3rgs4r 53 18 production production NN cord-017142-vx3rgs4r 53 19 , , , cord-017142-vx3rgs4r 53 20 current current JJ cord-017142-vx3rgs4r 53 21 evidence evidence NN cord-017142-vx3rgs4r 53 22 suggests suggest VBZ cord-017142-vx3rgs4r 53 23 using use VBG cord-017142-vx3rgs4r 53 24 hemodialysis hemodialysis NN cord-017142-vx3rgs4r 53 25 only only RB cord-017142-vx3rgs4r 53 26 for for IN cord-017142-vx3rgs4r 53 27 clinical clinical JJ cord-017142-vx3rgs4r 53 28 indications indication NNS cord-017142-vx3rgs4r 53 29 of of IN cord-017142-vx3rgs4r 53 30 renal renal JJ cord-017142-vx3rgs4r 53 31 replacement replacement NN cord-017142-vx3rgs4r 53 32 therapy therapy NN cord-017142-vx3rgs4r 53 33 which which WDT cord-017142-vx3rgs4r 53 34 may may MD cord-017142-vx3rgs4r 53 35 exist exist VB cord-017142-vx3rgs4r 53 36 and and CC cord-017142-vx3rgs4r 53 37 not not RB cord-017142-vx3rgs4r 53 38 solely solely RB cord-017142-vx3rgs4r 53 39 for for IN cord-017142-vx3rgs4r 53 40 reduction reduction NN cord-017142-vx3rgs4r 53 41 of of IN cord-017142-vx3rgs4r 53 42 tumor tumor NN cord-017142-vx3rgs4r 53 43 load load NN cord-017142-vx3rgs4r 53 44 . . . cord-017142-vx3rgs4r 54 1 Based base VBN cord-017142-vx3rgs4r 54 2 on on IN cord-017142-vx3rgs4r 54 3 two two CD cord-017142-vx3rgs4r 54 4 randomized randomized JJ cord-017142-vx3rgs4r 54 5 clinical clinical JJ cord-017142-vx3rgs4r 54 6 trials trial NNS cord-017142-vx3rgs4r 54 7 , , , cord-017142-vx3rgs4r 54 8 the the DT cord-017142-vx3rgs4r 54 9 use use NN cord-017142-vx3rgs4r 54 10 of of IN cord-017142-vx3rgs4r 54 11 high high JJ cord-017142-vx3rgs4r 54 12 cutoff cutoff NN cord-017142-vx3rgs4r 54 13 hemodialysis hemodialysis NN cord-017142-vx3rgs4r 54 14 to to TO cord-017142-vx3rgs4r 54 15 rapidly rapidly RB cord-017142-vx3rgs4r 54 16 reduce reduce VB cord-017142-vx3rgs4r 54 17 the the DT cord-017142-vx3rgs4r 54 18 load load NN cord-017142-vx3rgs4r 54 19 of of IN cord-017142-vx3rgs4r 54 20 nephrotoxic nephrotoxic NNP cord-017142-vx3rgs4r 54 21 light light JJ cord-017142-vx3rgs4r 54 22 chains chain NNS cord-017142-vx3rgs4r 54 23 may may MD cord-017142-vx3rgs4r 54 24 be be VB cord-017142-vx3rgs4r 54 25 an an DT cord-017142-vx3rgs4r 54 26 option option NN cord-017142-vx3rgs4r 54 27 in in IN cord-017142-vx3rgs4r 54 28 patients patient NNS cord-017142-vx3rgs4r 54 29 requiring require VBG cord-017142-vx3rgs4r 54 30 dialysis dialysis NN cord-017142-vx3rgs4r 54 31 when when WRB cord-017142-vx3rgs4r 54 32 treated treat VBN cord-017142-vx3rgs4r 54 33 with with IN cord-017142-vx3rgs4r 54 34 bortezomib bortezomib NNP cord-017142-vx3rgs4r 54 35 - - HYPH cord-017142-vx3rgs4r 54 36 based base VBN cord-017142-vx3rgs4r 54 37 therapies therapy NNS cord-017142-vx3rgs4r 54 38 , , , cord-017142-vx3rgs4r 54 39 but but CC cord-017142-vx3rgs4r 54 40 the the DT cord-017142-vx3rgs4r 54 41 results result NNS cord-017142-vx3rgs4r 54 42 may may MD cord-017142-vx3rgs4r 54 43 be be VB cord-017142-vx3rgs4r 54 44 stochastic stochastic JJ cord-017142-vx3rgs4r 54 45 at at IN cord-017142-vx3rgs4r 54 46 best well RBS cord-017142-vx3rgs4r 54 47 [ [ -LRB- cord-017142-vx3rgs4r 54 48 14 14 CD cord-017142-vx3rgs4r 54 49 , , , cord-017142-vx3rgs4r 54 50 22 22 CD cord-017142-vx3rgs4r 54 51 , , , cord-017142-vx3rgs4r 54 52 108 108 CD cord-017142-vx3rgs4r 54 53 ] ] -RRB- cord-017142-vx3rgs4r 54 54 . . . cord-017142-vx3rgs4r 55 1 TPE TPE NNP cord-017142-vx3rgs4r 55 2 can can MD cord-017142-vx3rgs4r 55 3 rapidly rapidly RB cord-017142-vx3rgs4r 55 4 reduce reduce VB cord-017142-vx3rgs4r 55 5 FLC FLC NNP cord-017142-vx3rgs4r 55 6 loads load NNS cord-017142-vx3rgs4r 55 7 ; ; : cord-017142-vx3rgs4r 55 8 however however RB cord-017142-vx3rgs4r 55 9 its -PRON- PRP$ cord-017142-vx3rgs4r 55 10 role role NN cord-017142-vx3rgs4r 55 11 in in IN cord-017142-vx3rgs4r 55 12 cast cast NN cord-017142-vx3rgs4r 55 13 nephropathy nephropathy NN cord-017142-vx3rgs4r 55 14 comes come VBZ cord-017142-vx3rgs4r 55 15 from from IN cord-017142-vx3rgs4r 55 16 small small JJ cord-017142-vx3rgs4r 55 17 retrospective retrospective JJ cord-017142-vx3rgs4r 55 18 trials trial NNS cord-017142-vx3rgs4r 55 19 which which WDT cord-017142-vx3rgs4r 55 20 provide provide VBP cord-017142-vx3rgs4r 55 21 no no DT cord-017142-vx3rgs4r 55 22 data datum NNS cord-017142-vx3rgs4r 55 23 on on IN cord-017142-vx3rgs4r 55 24 the the DT cord-017142-vx3rgs4r 55 25 renal renal JJ cord-017142-vx3rgs4r 55 26 histology histology NN cord-017142-vx3rgs4r 55 27 or or CC cord-017142-vx3rgs4r 55 28 SFLC SFLC NNP cord-017142-vx3rgs4r 55 29 levels level NNS cord-017142-vx3rgs4r 55 30 . . . cord-017142-vx3rgs4r 56 1 In in IN cord-017142-vx3rgs4r 56 2 studies study NNS cord-017142-vx3rgs4r 56 3 that that WDT cord-017142-vx3rgs4r 56 4 demonstrated demonstrate VBD cord-017142-vx3rgs4r 56 5 benefit benefit NN cord-017142-vx3rgs4r 56 6 , , , cord-017142-vx3rgs4r 56 7 obtaining obtain VBG cord-017142-vx3rgs4r 56 8 a a DT cord-017142-vx3rgs4r 56 9 biopsy biopsy NN cord-017142-vx3rgs4r 56 10 and and CC cord-017142-vx3rgs4r 56 11 using use VBG cord-017142-vx3rgs4r 56 12 a a DT cord-017142-vx3rgs4r 56 13 proteasome proteasome VBN cord-017142-vx3rgs4r 56 14 inhibitor inhibitor NN cord-017142-vx3rgs4r 56 15 ( ( -LRB- cord-017142-vx3rgs4r 56 16 PI)-based pi)-based CD cord-017142-vx3rgs4r 56 17 treatment treatment NN cord-017142-vx3rgs4r 56 18 were be VBD cord-017142-vx3rgs4r 56 19 not not RB cord-017142-vx3rgs4r 56 20 uniformly uniformly RB cord-017142-vx3rgs4r 56 21 applied apply VBN cord-017142-vx3rgs4r 56 22 , , , cord-017142-vx3rgs4r 56 23 making make VBG cord-017142-vx3rgs4r 56 24 interpretation interpretation NN cord-017142-vx3rgs4r 56 25 of of IN cord-017142-vx3rgs4r 56 26 the the DT cord-017142-vx3rgs4r 56 27 data datum NNS cord-017142-vx3rgs4r 56 28 difficult difficult JJ cord-017142-vx3rgs4r 56 29 . . . cord-017142-vx3rgs4r 57 1 Especially especially RB cord-017142-vx3rgs4r 57 2 in in IN cord-017142-vx3rgs4r 57 3 the the DT cord-017142-vx3rgs4r 57 4 era era NN cord-017142-vx3rgs4r 57 5 of of IN cord-017142-vx3rgs4r 57 6 novel novel JJ cord-017142-vx3rgs4r 57 7 drugs drug NNS cord-017142-vx3rgs4r 57 8 , , , cord-017142-vx3rgs4r 57 9 the the DT cord-017142-vx3rgs4r 57 10 evidence evidence NN cord-017142-vx3rgs4r 57 11 in in IN cord-017142-vx3rgs4r 57 12 favor favor NN cord-017142-vx3rgs4r 57 13 of of IN cord-017142-vx3rgs4r 57 14 TPE TPE NNP cord-017142-vx3rgs4r 57 15 is be VBZ cord-017142-vx3rgs4r 57 16 limited limit VBN cord-017142-vx3rgs4r 57 17 [ [ -LRB- cord-017142-vx3rgs4r 57 18 21 21 CD cord-017142-vx3rgs4r 57 19 , , , cord-017142-vx3rgs4r 57 20 29 29 CD cord-017142-vx3rgs4r 57 21 , , , cord-017142-vx3rgs4r 57 22 63 63 CD cord-017142-vx3rgs4r 57 23 ] ] -RRB- cord-017142-vx3rgs4r 57 24 unless unless IN cord-017142-vx3rgs4r 57 25 there there EX cord-017142-vx3rgs4r 57 26 is be VBZ cord-017142-vx3rgs4r 57 27 evidence evidence NN cord-017142-vx3rgs4r 57 28 of of IN cord-017142-vx3rgs4r 57 29 IgM IgM NNP cord-017142-vx3rgs4r 57 30 or or CC cord-017142-vx3rgs4r 57 31 IgA IgA NNP cord-017142-vx3rgs4r 57 32 paraproteinemia paraproteinemia NNP cord-017142-vx3rgs4r 57 33 - - HYPH cord-017142-vx3rgs4r 57 34 associated associate VBN cord-017142-vx3rgs4r 57 35 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 57 36 syndrome syndrome NN cord-017142-vx3rgs4r 57 37 . . . cord-017142-vx3rgs4r 58 1 The the DT cord-017142-vx3rgs4r 58 2 utility utility NN cord-017142-vx3rgs4r 58 3 of of IN cord-017142-vx3rgs4r 58 4 urinary urinary JJ cord-017142-vx3rgs4r 58 5 alkalization alkalization NN cord-017142-vx3rgs4r 58 6 is be VBZ cord-017142-vx3rgs4r 58 7 debated debate VBN cord-017142-vx3rgs4r 58 8 as as IN cord-017142-vx3rgs4r 58 9 this this DT cord-017142-vx3rgs4r 58 10 theoretically theoretically RB cord-017142-vx3rgs4r 58 11 decreases decrease VBZ cord-017142-vx3rgs4r 58 12 tubular tubular JJ cord-017142-vx3rgs4r 58 13 cast cast NN cord-017142-vx3rgs4r 58 14 formation formation NN cord-017142-vx3rgs4r 58 15 and and CC cord-017142-vx3rgs4r 58 16 , , , cord-017142-vx3rgs4r 58 17 however however RB cord-017142-vx3rgs4r 58 18 , , , cord-017142-vx3rgs4r 58 19 can can MD cord-017142-vx3rgs4r 58 20 cause cause VB cord-017142-vx3rgs4r 58 21 risk risk NN cord-017142-vx3rgs4r 58 22 of of IN cord-017142-vx3rgs4r 58 23 renal renal JJ cord-017142-vx3rgs4r 58 24 calcium calcium NN cord-017142-vx3rgs4r 58 25 precipitation precipitation NN cord-017142-vx3rgs4r 58 26 , , , cord-017142-vx3rgs4r 58 27 especially especially RB cord-017142-vx3rgs4r 58 28 if if IN cord-017142-vx3rgs4r 58 29 the the DT cord-017142-vx3rgs4r 58 30 patient patient NN cord-017142-vx3rgs4r 58 31 presents present VBZ cord-017142-vx3rgs4r 58 32 with with IN cord-017142-vx3rgs4r 58 33 concurrent concurrent JJ cord-017142-vx3rgs4r 58 34 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 58 35 . . . cord-017142-vx3rgs4r 59 1 Acute acute JJ cord-017142-vx3rgs4r 59 2 tubular tubular JJ cord-017142-vx3rgs4r 59 3 necrosis necrosis NN cord-017142-vx3rgs4r 59 4 : : : cord-017142-vx3rgs4r 60 1 ATN ATN NNP cord-017142-vx3rgs4r 60 2 is be VBZ cord-017142-vx3rgs4r 60 3 a a DT cord-017142-vx3rgs4r 60 4 consequence consequence NN cord-017142-vx3rgs4r 60 5 of of IN cord-017142-vx3rgs4r 60 6 an an DT cord-017142-vx3rgs4r 60 7 already already RB cord-017142-vx3rgs4r 60 8 compromised compromise VBN cord-017142-vx3rgs4r 60 9 renal renal JJ cord-017142-vx3rgs4r 60 10 function function NN cord-017142-vx3rgs4r 60 11 in in IN cord-017142-vx3rgs4r 60 12 patients patient NNS cord-017142-vx3rgs4r 60 13 with with IN cord-017142-vx3rgs4r 60 14 cast cast NN cord-017142-vx3rgs4r 60 15 nephropathy nephropathy NN cord-017142-vx3rgs4r 60 16 . . . cord-017142-vx3rgs4r 61 1 Hypercalcemiarelated hypercalcemiarelated JJ cord-017142-vx3rgs4r 61 2 vasoconstriction vasoconstriction NN cord-017142-vx3rgs4r 61 3 with with IN cord-017142-vx3rgs4r 61 4 subsequent subsequent JJ cord-017142-vx3rgs4r 61 5 reduced reduce VBN cord-017142-vx3rgs4r 61 6 renovascular renovascular JJ cord-017142-vx3rgs4r 61 7 flow flow NN cord-017142-vx3rgs4r 61 8 , , , cord-017142-vx3rgs4r 61 9 dehydration dehydration NN cord-017142-vx3rgs4r 61 10 , , , cord-017142-vx3rgs4r 61 11 and and CC cord-017142-vx3rgs4r 61 12 use use NN cord-017142-vx3rgs4r 61 13 of of IN cord-017142-vx3rgs4r 61 14 loop loop NN cord-017142-vx3rgs4r 61 15 diuretics diuretic NNS cord-017142-vx3rgs4r 61 16 can can MD cord-017142-vx3rgs4r 61 17 speed speed VB cord-017142-vx3rgs4r 61 18 up up RP cord-017142-vx3rgs4r 61 19 cast cast NN cord-017142-vx3rgs4r 61 20 formation formation NN cord-017142-vx3rgs4r 61 21 . . . cord-017142-vx3rgs4r 62 1 There there EX cord-017142-vx3rgs4r 62 2 are be VBP cord-017142-vx3rgs4r 62 3 some some DT cord-017142-vx3rgs4r 62 4 reports report NNS cord-017142-vx3rgs4r 62 5 of of IN cord-017142-vx3rgs4r 62 6 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 62 7 causing cause VBG cord-017142-vx3rgs4r 62 8 direct direct JJ cord-017142-vx3rgs4r 62 9 proximal proximal JJ cord-017142-vx3rgs4r 62 10 tubular tubular JJ cord-017142-vx3rgs4r 62 11 injury injury NN cord-017142-vx3rgs4r 62 12 ; ; : cord-017142-vx3rgs4r 62 13 however however RB cord-017142-vx3rgs4r 62 14 , , , cord-017142-vx3rgs4r 62 15 the the DT cord-017142-vx3rgs4r 62 16 risk risk NN cord-017142-vx3rgs4r 62 17 appears appear VBZ cord-017142-vx3rgs4r 62 18 to to TO cord-017142-vx3rgs4r 62 19 be be VB cord-017142-vx3rgs4r 62 20 very very RB cord-017142-vx3rgs4r 62 21 small small JJ cord-017142-vx3rgs4r 62 22 [ [ -LRB- cord-017142-vx3rgs4r 62 23 70 70 CD cord-017142-vx3rgs4r 62 24 ] ] -RRB- cord-017142-vx3rgs4r 62 25 . . . cord-017142-vx3rgs4r 63 1 Monoclonal monoclonal JJ cord-017142-vx3rgs4r 63 2 deposition deposition NN cord-017142-vx3rgs4r 63 3 disease disease NN cord-017142-vx3rgs4r 63 4 : : : cord-017142-vx3rgs4r 64 1 In in IN cord-017142-vx3rgs4r 64 2 contrast contrast NN cord-017142-vx3rgs4r 64 3 to to IN cord-017142-vx3rgs4r 64 4 myeloma myeloma NN cord-017142-vx3rgs4r 64 5 kidney kidney NN cord-017142-vx3rgs4r 64 6 , , , cord-017142-vx3rgs4r 64 7 MIDD MIDD NNP cord-017142-vx3rgs4r 64 8 ( ( -LRB- cord-017142-vx3rgs4r 64 9 heavy heavy JJ cord-017142-vx3rgs4r 64 10 chain chain NN cord-017142-vx3rgs4r 64 11 , , , cord-017142-vx3rgs4r 64 12 light light JJ cord-017142-vx3rgs4r 64 13 chain chain NN cord-017142-vx3rgs4r 64 14 , , , cord-017142-vx3rgs4r 64 15 or or CC cord-017142-vx3rgs4r 64 16 heavy heavy JJ cord-017142-vx3rgs4r 64 17 chain chain NN cord-017142-vx3rgs4r 64 18 - - HYPH cord-017142-vx3rgs4r 64 19 light light NN cord-017142-vx3rgs4r 64 20 chain chain NN cord-017142-vx3rgs4r 64 21 ) ) -RRB- cord-017142-vx3rgs4r 64 22 and and CC cord-017142-vx3rgs4r 64 23 AL AL NNP cord-017142-vx3rgs4r 64 24 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 64 25 result result VBP cord-017142-vx3rgs4r 64 26 from from IN cord-017142-vx3rgs4r 64 27 gradual gradual JJ cord-017142-vx3rgs4r 64 28 non non JJ cord-017142-vx3rgs4r 64 29 - - JJ cord-017142-vx3rgs4r 64 30 fibrillar fibrillar JJ cord-017142-vx3rgs4r 64 31 ( ( -LRB- cord-017142-vx3rgs4r 64 32 Congo Congo NNP cord-017142-vx3rgs4r 64 33 red red JJ cord-017142-vx3rgs4r 64 34 negative negative NN cord-017142-vx3rgs4r 64 35 ) ) -RRB- cord-017142-vx3rgs4r 64 36 and and CC cord-017142-vx3rgs4r 64 37 fibrillar fibrillar NNP cord-017142-vx3rgs4r 64 38 ( ( -LRB- cord-017142-vx3rgs4r 64 39 Congo Congo NNP cord-017142-vx3rgs4r 64 40 red red JJ cord-017142-vx3rgs4r 64 41 positive positive JJ cord-017142-vx3rgs4r 64 42 ) ) -RRB- cord-017142-vx3rgs4r 64 43 protein protein NN cord-017142-vx3rgs4r 64 44 deposition deposition NN cord-017142-vx3rgs4r 64 45 , , , cord-017142-vx3rgs4r 64 46 respectively respectively RB cord-017142-vx3rgs4r 64 47 , , , cord-017142-vx3rgs4r 64 48 in in IN cord-017142-vx3rgs4r 64 49 the the DT cord-017142-vx3rgs4r 64 50 glomeruli glomerulus NNS cord-017142-vx3rgs4r 64 51 . . . cord-017142-vx3rgs4r 65 1 MIDD MIDD NNP cord-017142-vx3rgs4r 65 2 is be VBZ cord-017142-vx3rgs4r 65 3 most most RBS cord-017142-vx3rgs4r 65 4 commonly commonly RB cord-017142-vx3rgs4r 65 5 kappa kappa NN cord-017142-vx3rgs4r 65 6 subtype subtype NN cord-017142-vx3rgs4r 65 7 , , , cord-017142-vx3rgs4r 65 8 while while IN cord-017142-vx3rgs4r 65 9 AL AL NNP cord-017142-vx3rgs4r 65 10 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 65 11 tends tend VBZ cord-017142-vx3rgs4r 65 12 to to TO cord-017142-vx3rgs4r 65 13 be be VB cord-017142-vx3rgs4r 65 14 lambda lambda NN cord-017142-vx3rgs4r 65 15 ; ; : cord-017142-vx3rgs4r 65 16 both both DT cord-017142-vx3rgs4r 65 17 tend tend VBP cord-017142-vx3rgs4r 65 18 to to TO cord-017142-vx3rgs4r 65 19 be be VB cord-017142-vx3rgs4r 65 20 associated associate VBN cord-017142-vx3rgs4r 65 21 with with IN cord-017142-vx3rgs4r 65 22 predominant predominant JJ cord-017142-vx3rgs4r 65 23 albuminuria albuminuria NNS cord-017142-vx3rgs4r 65 24 unlike unlike IN cord-017142-vx3rgs4r 65 25 cast cast VBN cord-017142-vx3rgs4r 65 26 nephropathy nephropathy NN cord-017142-vx3rgs4r 65 27 . . . cord-017142-vx3rgs4r 66 1 Though though IN cord-017142-vx3rgs4r 66 2 the the DT cord-017142-vx3rgs4r 66 3 most most RBS cord-017142-vx3rgs4r 66 4 characteristic characteristic JJ cord-017142-vx3rgs4r 66 5 presentation presentation NN cord-017142-vx3rgs4r 66 6 is be VBZ cord-017142-vx3rgs4r 66 7 nephrotic nephrotic JJ cord-017142-vx3rgs4r 66 8 syndrome syndrome NN cord-017142-vx3rgs4r 66 9 due due IN cord-017142-vx3rgs4r 66 10 to to IN cord-017142-vx3rgs4r 66 11 glomerular glomerular JJ cord-017142-vx3rgs4r 66 12 involvement involvement NN cord-017142-vx3rgs4r 66 13 , , , cord-017142-vx3rgs4r 66 14 patients patient NNS cord-017142-vx3rgs4r 66 15 with with IN cord-017142-vx3rgs4r 66 16 MIDD MIDD NNP cord-017142-vx3rgs4r 66 17 can can MD cord-017142-vx3rgs4r 66 18 have have VB cord-017142-vx3rgs4r 66 19 rapid rapid JJ cord-017142-vx3rgs4r 66 20 deterioration deterioration NN cord-017142-vx3rgs4r 66 21 of of IN cord-017142-vx3rgs4r 66 22 renal renal JJ cord-017142-vx3rgs4r 66 23 function function NN cord-017142-vx3rgs4r 66 24 which which WDT cord-017142-vx3rgs4r 66 25 could could MD cord-017142-vx3rgs4r 66 26 be be VB cord-017142-vx3rgs4r 66 27 fatal fatal JJ cord-017142-vx3rgs4r 66 28 if if IN cord-017142-vx3rgs4r 66 29 diagnosis diagnosis NN cord-017142-vx3rgs4r 66 30 is be VBZ cord-017142-vx3rgs4r 66 31 not not RB cord-017142-vx3rgs4r 66 32 reached reach VBN cord-017142-vx3rgs4r 66 33 in in IN cord-017142-vx3rgs4r 66 34 a a DT cord-017142-vx3rgs4r 66 35 patient patient NN cord-017142-vx3rgs4r 66 36 presenting present VBG cord-017142-vx3rgs4r 66 37 with with IN cord-017142-vx3rgs4r 66 38 new new JJ cord-017142-vx3rgs4r 66 39 - - HYPH cord-017142-vx3rgs4r 66 40 onset onset NN cord-017142-vx3rgs4r 66 41 renal renal JJ cord-017142-vx3rgs4r 66 42 failure failure NN cord-017142-vx3rgs4r 66 43 . . . cord-017142-vx3rgs4r 67 1 Life life NN cord-017142-vx3rgs4r 67 2 - - HYPH cord-017142-vx3rgs4r 67 3 threatening threaten VBG cord-017142-vx3rgs4r 67 4 complications complication NNS cord-017142-vx3rgs4r 67 5 which which WDT cord-017142-vx3rgs4r 67 6 need need VBP cord-017142-vx3rgs4r 67 7 to to TO cord-017142-vx3rgs4r 67 8 be be VB cord-017142-vx3rgs4r 67 9 closely closely RB cord-017142-vx3rgs4r 67 10 monitored monitor VBN cord-017142-vx3rgs4r 67 11 include include VBP cord-017142-vx3rgs4r 67 12 arrhythmias arrhythmia NNS cord-017142-vx3rgs4r 67 13 , , , cord-017142-vx3rgs4r 67 14 congestive congestive JJ cord-017142-vx3rgs4r 67 15 heart heart NN cord-017142-vx3rgs4r 67 16 failure failure NN cord-017142-vx3rgs4r 67 17 , , , cord-017142-vx3rgs4r 67 18 and and CC cord-017142-vx3rgs4r 67 19 bleeding bleed VBG cord-017142-vx3rgs4r 67 20 diathesis diathesis NN cord-017142-vx3rgs4r 67 21 . . . cord-017142-vx3rgs4r 68 1 To to TO cord-017142-vx3rgs4r 68 2 confirm confirm VB cord-017142-vx3rgs4r 68 3 the the DT cord-017142-vx3rgs4r 68 4 diagnosis diagnosis NN cord-017142-vx3rgs4r 68 5 , , , cord-017142-vx3rgs4r 68 6 subcutaneous subcutaneous JJ cord-017142-vx3rgs4r 68 7 fat fat JJ cord-017142-vx3rgs4r 68 8 pad pad NN cord-017142-vx3rgs4r 68 9 biopsy biopsy NN cord-017142-vx3rgs4r 68 10 can can MD cord-017142-vx3rgs4r 68 11 be be VB cord-017142-vx3rgs4r 68 12 pursued pursue VBN cord-017142-vx3rgs4r 68 13 initially initially RB cord-017142-vx3rgs4r 68 14 , , , cord-017142-vx3rgs4r 68 15 as as IN cord-017142-vx3rgs4r 68 16 it -PRON- PRP cord-017142-vx3rgs4r 68 17 is be VBZ cord-017142-vx3rgs4r 68 18 less less RBR cord-017142-vx3rgs4r 68 19 invasive invasive JJ cord-017142-vx3rgs4r 68 20 and and CC cord-017142-vx3rgs4r 68 21 can can MD cord-017142-vx3rgs4r 68 22 potentially potentially RB cord-017142-vx3rgs4r 68 23 diagnose diagnose VB cord-017142-vx3rgs4r 68 24 an an DT cord-017142-vx3rgs4r 68 25 AL AL NNP cord-017142-vx3rgs4r 68 26 amyloid amyloid NN cord-017142-vx3rgs4r 68 27 deposition deposition NN cord-017142-vx3rgs4r 68 28 disease disease NN cord-017142-vx3rgs4r 68 29 . . . cord-017142-vx3rgs4r 69 1 If if IN cord-017142-vx3rgs4r 69 2 negative negative JJ cord-017142-vx3rgs4r 69 3 , , , cord-017142-vx3rgs4r 69 4 proceed proceed VBP cord-017142-vx3rgs4r 69 5 with with IN cord-017142-vx3rgs4r 69 6 kidney kidney NN cord-017142-vx3rgs4r 69 7 biopsy biopsy NN cord-017142-vx3rgs4r 69 8 to to TO cord-017142-vx3rgs4r 69 9 look look VB cord-017142-vx3rgs4r 69 10 for for IN cord-017142-vx3rgs4r 69 11 AL AL NNP cord-017142-vx3rgs4r 69 12 amyloid amyloid NN cord-017142-vx3rgs4r 69 13 , , , cord-017142-vx3rgs4r 69 14 MIDD MIDD NNP cord-017142-vx3rgs4r 69 15 , , , cord-017142-vx3rgs4r 69 16 or or CC cord-017142-vx3rgs4r 69 17 other other JJ cord-017142-vx3rgs4r 69 18 potential potential JJ cord-017142-vx3rgs4r 69 19 renal renal JJ cord-017142-vx3rgs4r 69 20 glomerulopathy glomerulopathy NNP cord-017142-vx3rgs4r 69 21 . . . cord-017142-vx3rgs4r 70 1 Fanconi Fanconi NNP cord-017142-vx3rgs4r 70 2 syndrome syndrome NN cord-017142-vx3rgs4r 70 3 : : : cord-017142-vx3rgs4r 71 1 The the DT cord-017142-vx3rgs4r 71 2 presence presence NN cord-017142-vx3rgs4r 71 3 of of IN cord-017142-vx3rgs4r 71 4 hypophosphatemia hypophosphatemia NN cord-017142-vx3rgs4r 71 5 , , , cord-017142-vx3rgs4r 71 6 hypokalemia hypokalemia NN cord-017142-vx3rgs4r 71 7 , , , cord-017142-vx3rgs4r 71 8 hypouricemia hypouricemia NN cord-017142-vx3rgs4r 71 9 , , , cord-017142-vx3rgs4r 71 10 renal renal JJ cord-017142-vx3rgs4r 71 11 tubular tubular JJ cord-017142-vx3rgs4r 71 12 acidosis acidosis NN cord-017142-vx3rgs4r 71 13 , , , cord-017142-vx3rgs4r 71 14 and and CC cord-017142-vx3rgs4r 71 15 glycosuria glycosuria NNP cord-017142-vx3rgs4r 71 16 should should MD cord-017142-vx3rgs4r 71 17 raise raise VB cord-017142-vx3rgs4r 71 18 the the DT cord-017142-vx3rgs4r 71 19 suspicion suspicion NN cord-017142-vx3rgs4r 71 20 of of IN cord-017142-vx3rgs4r 71 21 Fanconi Fanconi NNP cord-017142-vx3rgs4r 71 22 syndrome syndrome NN cord-017142-vx3rgs4r 71 23 in in IN cord-017142-vx3rgs4r 71 24 MM MM NNP cord-017142-vx3rgs4r 71 25 . . . cord-017142-vx3rgs4r 72 1 It -PRON- PRP cord-017142-vx3rgs4r 72 2 is be VBZ cord-017142-vx3rgs4r 72 3 a a DT cord-017142-vx3rgs4r 72 4 rare rare JJ cord-017142-vx3rgs4r 72 5 wasting wasting NN cord-017142-vx3rgs4r 72 6 syndrome syndrome NN cord-017142-vx3rgs4r 72 7 due due IN cord-017142-vx3rgs4r 72 8 to to IN cord-017142-vx3rgs4r 72 9 proximal proximal JJ cord-017142-vx3rgs4r 72 10 renal renal JJ cord-017142-vx3rgs4r 72 11 tubule tubule NN cord-017142-vx3rgs4r 72 12 dysfunction dysfunction NN cord-017142-vx3rgs4r 72 13 more more RBR cord-017142-vx3rgs4r 72 14 commonly commonly RB cord-017142-vx3rgs4r 72 15 seen see VBN cord-017142-vx3rgs4r 72 16 in in IN cord-017142-vx3rgs4r 72 17 patients patient NNS cord-017142-vx3rgs4r 72 18 with with IN cord-017142-vx3rgs4r 72 19 MGUS MGUS NNP cord-017142-vx3rgs4r 72 20 leading lead VBG cord-017142-vx3rgs4r 72 21 to to IN cord-017142-vx3rgs4r 72 22 loss loss NN cord-017142-vx3rgs4r 72 23 of of IN cord-017142-vx3rgs4r 72 24 glucose glucose NN cord-017142-vx3rgs4r 72 25 , , , cord-017142-vx3rgs4r 72 26 phosphate phosphate NN cord-017142-vx3rgs4r 72 27 , , , cord-017142-vx3rgs4r 72 28 amino amino JJ cord-017142-vx3rgs4r 72 29 acids acid NNS cord-017142-vx3rgs4r 72 30 , , , cord-017142-vx3rgs4r 72 31 and and CC cord-017142-vx3rgs4r 72 32 uric uric NN cord-017142-vx3rgs4r 72 33 acid acid NN cord-017142-vx3rgs4r 72 34 . . . cord-017142-vx3rgs4r 73 1 Though though IN cord-017142-vx3rgs4r 73 2 it -PRON- PRP cord-017142-vx3rgs4r 73 3 runs run VBZ cord-017142-vx3rgs4r 73 4 a a DT cord-017142-vx3rgs4r 73 5 benign benign JJ cord-017142-vx3rgs4r 73 6 course course NN cord-017142-vx3rgs4r 73 7 , , , cord-017142-vx3rgs4r 73 8 it -PRON- PRP cord-017142-vx3rgs4r 73 9 can can MD cord-017142-vx3rgs4r 73 10 complicate complicate VB cord-017142-vx3rgs4r 73 11 the the DT cord-017142-vx3rgs4r 73 12 concomitant concomitant JJ cord-017142-vx3rgs4r 73 13 electrolyte electrolyte JJ cord-017142-vx3rgs4r 73 14 imbalance imbalance NN cord-017142-vx3rgs4r 73 15 and and CC cord-017142-vx3rgs4r 73 16 renal renal JJ cord-017142-vx3rgs4r 73 17 failure failure NN cord-017142-vx3rgs4r 73 18 . . . cord-017142-vx3rgs4r 74 1 Ironically ironically RB cord-017142-vx3rgs4r 74 2 , , , cord-017142-vx3rgs4r 74 3 despite despite IN cord-017142-vx3rgs4r 74 4 the the DT cord-017142-vx3rgs4r 74 5 glycosuria glycosuria NNP cord-017142-vx3rgs4r 74 6 , , , cord-017142-vx3rgs4r 74 7 the the DT cord-017142-vx3rgs4r 74 8 serum serum NN cord-017142-vx3rgs4r 74 9 glucose glucose NN cord-017142-vx3rgs4r 74 10 is be VBZ cord-017142-vx3rgs4r 74 11 usually usually RB cord-017142-vx3rgs4r 74 12 normal normal JJ cord-017142-vx3rgs4r 74 13 , , , cord-017142-vx3rgs4r 74 14 which which WDT cord-017142-vx3rgs4r 74 15 goes go VBZ cord-017142-vx3rgs4r 74 16 along along IN cord-017142-vx3rgs4r 74 17 with with IN cord-017142-vx3rgs4r 74 18 the the DT cord-017142-vx3rgs4r 74 19 defect defect NN cord-017142-vx3rgs4r 74 20 in in IN cord-017142-vx3rgs4r 74 21 the the DT cord-017142-vx3rgs4r 74 22 proximal proximal JJ cord-017142-vx3rgs4r 74 23 tubular tubular JJ cord-017142-vx3rgs4r 74 24 transport transport NN cord-017142-vx3rgs4r 74 25 defect defect NN cord-017142-vx3rgs4r 74 26 [ [ -LRB- cord-017142-vx3rgs4r 74 27 15 15 CD cord-017142-vx3rgs4r 74 28 ] ] -RRB- cord-017142-vx3rgs4r 74 29 . . . cord-017142-vx3rgs4r 75 1 MM MM NNP cord-017142-vx3rgs4r 75 2 patients patient NNS cord-017142-vx3rgs4r 75 3 are be VBP cord-017142-vx3rgs4r 75 4 at at IN cord-017142-vx3rgs4r 75 5 high high JJ cord-017142-vx3rgs4r 75 6 risk risk NN cord-017142-vx3rgs4r 75 7 for for IN cord-017142-vx3rgs4r 75 8 cardiac cardiac JJ cord-017142-vx3rgs4r 75 9 complications complication NNS cord-017142-vx3rgs4r 75 10 secondary secondary JJ cord-017142-vx3rgs4r 75 11 multiple multiple JJ cord-017142-vx3rgs4r 75 12 factors factor NNS cord-017142-vx3rgs4r 75 13 including include VBG cord-017142-vx3rgs4r 75 14 an an DT cord-017142-vx3rgs4r 75 15 older old JJR cord-017142-vx3rgs4r 75 16 age age NN cord-017142-vx3rgs4r 75 17 group group NN cord-017142-vx3rgs4r 75 18 of of IN cord-017142-vx3rgs4r 75 19 patients patient NNS cord-017142-vx3rgs4r 75 20 with with IN cord-017142-vx3rgs4r 75 21 underlying underlying JJ cord-017142-vx3rgs4r 75 22 comorbidities comorbiditie NNS cord-017142-vx3rgs4r 75 23 , , , cord-017142-vx3rgs4r 75 24 concurrent concurrent JJ cord-017142-vx3rgs4r 75 25 kidney kidney NN cord-017142-vx3rgs4r 75 26 involvement involvement NN cord-017142-vx3rgs4r 75 27 , , , cord-017142-vx3rgs4r 75 28 MM MM NNP cord-017142-vx3rgs4r 75 29 - - HYPH cord-017142-vx3rgs4r 75 30 associated associate VBN cord-017142-vx3rgs4r 75 31 deposition deposition NN cord-017142-vx3rgs4r 75 32 disease disease NN cord-017142-vx3rgs4r 75 33 , , , cord-017142-vx3rgs4r 75 34 and/or and/or CC cord-017142-vx3rgs4r 75 35 anti anti JJ cord-017142-vx3rgs4r 75 36 - - JJ cord-017142-vx3rgs4r 75 37 MM mm JJ cord-017142-vx3rgs4r 75 38 drug drug NN cord-017142-vx3rgs4r 75 39 - - HYPH cord-017142-vx3rgs4r 75 40 related relate VBN cord-017142-vx3rgs4r 75 41 side side NN cord-017142-vx3rgs4r 75 42 effects effect NNS cord-017142-vx3rgs4r 75 43 . . . cord-017142-vx3rgs4r 76 1 Cardiac cardiac JJ cord-017142-vx3rgs4r 76 2 amyloid amyloid NN cord-017142-vx3rgs4r 76 3 : : : cord-017142-vx3rgs4r 77 1 Approximately approximately RB cord-017142-vx3rgs4r 77 2 10 10 CD cord-017142-vx3rgs4r 77 3 % % NN cord-017142-vx3rgs4r 77 4 of of IN cord-017142-vx3rgs4r 77 5 patients patient NNS cord-017142-vx3rgs4r 77 6 with with IN cord-017142-vx3rgs4r 77 7 MM MM NNP cord-017142-vx3rgs4r 77 8 can can MD cord-017142-vx3rgs4r 77 9 have have VB cord-017142-vx3rgs4r 77 10 concomitant concomitant JJ cord-017142-vx3rgs4r 77 11 light light JJ cord-017142-vx3rgs4r 77 12 chain chain NN cord-017142-vx3rgs4r 78 1 ( ( -LRB- cord-017142-vx3rgs4r 78 2 AL AL NNP cord-017142-vx3rgs4r 78 3 ) ) -RRB- cord-017142-vx3rgs4r 78 4 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 78 5 , , , cord-017142-vx3rgs4r 78 6 the the DT cord-017142-vx3rgs4r 78 7 most most RBS cord-017142-vx3rgs4r 78 8 common common JJ cord-017142-vx3rgs4r 78 9 type type NN cord-017142-vx3rgs4r 78 10 of of IN cord-017142-vx3rgs4r 78 11 systemic systemic JJ cord-017142-vx3rgs4r 78 12 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 78 13 associated associate VBN cord-017142-vx3rgs4r 78 14 with with IN cord-017142-vx3rgs4r 78 15 plasma plasma NN cord-017142-vx3rgs4r 78 16 cell cell NN cord-017142-vx3rgs4r 78 17 dyscrasias dyscrasia NNS cord-017142-vx3rgs4r 78 18 ; ; : cord-017142-vx3rgs4r 78 19 often often RB cord-017142-vx3rgs4r 78 20 this this DT cord-017142-vx3rgs4r 78 21 association association NN cord-017142-vx3rgs4r 78 22 is be VBZ cord-017142-vx3rgs4r 78 23 missed miss VBN cord-017142-vx3rgs4r 78 24 at at IN cord-017142-vx3rgs4r 78 25 the the DT cord-017142-vx3rgs4r 78 26 time time NN cord-017142-vx3rgs4r 78 27 of of IN cord-017142-vx3rgs4r 78 28 MM MM NNP cord-017142-vx3rgs4r 78 29 diagnosis diagnosis NN cord-017142-vx3rgs4r 78 30 . . . cord-017142-vx3rgs4r 79 1 In in IN cord-017142-vx3rgs4r 79 2 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 79 3 , , , cord-017142-vx3rgs4r 79 4 heart heart NN cord-017142-vx3rgs4r 79 5 involvement involvement NN cord-017142-vx3rgs4r 79 6 is be VBZ cord-017142-vx3rgs4r 79 7 seen see VBN cord-017142-vx3rgs4r 79 8 in in IN cord-017142-vx3rgs4r 79 9 approximately approximately RB cord-017142-vx3rgs4r 79 10 half half NN cord-017142-vx3rgs4r 79 11 of of IN cord-017142-vx3rgs4r 79 12 the the DT cord-017142-vx3rgs4r 79 13 cases case NNS cord-017142-vx3rgs4r 79 14 [ [ -LRB- cord-017142-vx3rgs4r 79 15 32 32 CD cord-017142-vx3rgs4r 79 16 ] ] -RRB- cord-017142-vx3rgs4r 79 17 . . . cord-017142-vx3rgs4r 80 1 Cardiac cardiac JJ cord-017142-vx3rgs4r 80 2 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 80 3 can can MD cord-017142-vx3rgs4r 80 4 be be VB cord-017142-vx3rgs4r 80 5 clinically clinically RB cord-017142-vx3rgs4r 80 6 silent silent JJ cord-017142-vx3rgs4r 80 7 initially initially RB cord-017142-vx3rgs4r 80 8 , , , cord-017142-vx3rgs4r 80 9 and and CC cord-017142-vx3rgs4r 80 10 a a DT cord-017142-vx3rgs4r 80 11 MM MM NNP cord-017142-vx3rgs4r 80 12 patient patient NN cord-017142-vx3rgs4r 80 13 presenting present VBG cord-017142-vx3rgs4r 80 14 with with IN cord-017142-vx3rgs4r 80 15 progressive progressive JJ cord-017142-vx3rgs4r 80 16 dyspnea dyspnea NN cord-017142-vx3rgs4r 81 1 , , , cord-017142-vx3rgs4r 81 2 worsening worsen VBG cord-017142-vx3rgs4r 81 3 edema edema NN cord-017142-vx3rgs4r 81 4 with with IN cord-017142-vx3rgs4r 81 5 evidence evidence NN cord-017142-vx3rgs4r 81 6 of of IN cord-017142-vx3rgs4r 81 7 heart heart NN cord-017142-vx3rgs4r 81 8 failure failure NN cord-017142-vx3rgs4r 81 9 , , , cord-017142-vx3rgs4r 81 10 or or CC cord-017142-vx3rgs4r 81 11 dysrhythmia dysrhythmia NN cord-017142-vx3rgs4r 81 12 presenting present VBG cord-017142-vx3rgs4r 81 13 as as IN cord-017142-vx3rgs4r 81 14 syncope syncope NN cord-017142-vx3rgs4r 81 15 or or CC cord-017142-vx3rgs4r 81 16 hypotensive hypotensive JJ cord-017142-vx3rgs4r 81 17 event event NN cord-017142-vx3rgs4r 81 18 requires require VBZ cord-017142-vx3rgs4r 81 19 a a DT cord-017142-vx3rgs4r 81 20 thorough thorough JJ cord-017142-vx3rgs4r 81 21 work work NN cord-017142-vx3rgs4r 81 22 - - HYPH cord-017142-vx3rgs4r 81 23 up up NN cord-017142-vx3rgs4r 81 24 to to TO cord-017142-vx3rgs4r 81 25 rule rule VB cord-017142-vx3rgs4r 81 26 out out RP cord-017142-vx3rgs4r 81 27 coexisting coexist VBG cord-017142-vx3rgs4r 81 28 amyloid amyloid NN cord-017142-vx3rgs4r 81 29 disease disease NN cord-017142-vx3rgs4r 81 30 . . . cord-017142-vx3rgs4r 82 1 Detection detection NN cord-017142-vx3rgs4r 82 2 of of IN cord-017142-vx3rgs4r 82 3 amyloid amyloid NN cord-017142-vx3rgs4r 82 4 in in IN cord-017142-vx3rgs4r 82 5 any any DT cord-017142-vx3rgs4r 82 6 organ organ NN cord-017142-vx3rgs4r 82 7 requires require VBZ cord-017142-vx3rgs4r 82 8 ruling rule VBG cord-017142-vx3rgs4r 82 9 out out RP cord-017142-vx3rgs4r 82 10 cardiac cardiac JJ cord-017142-vx3rgs4r 82 11 involvement involvement NN cord-017142-vx3rgs4r 82 12 . . . cord-017142-vx3rgs4r 83 1 Other other JJ cord-017142-vx3rgs4r 83 2 symptoms symptom NNS cord-017142-vx3rgs4r 83 3 which which WDT cord-017142-vx3rgs4r 83 4 warrant warrant VBP cord-017142-vx3rgs4r 83 5 amyloid amyloid NN cord-017142-vx3rgs4r 83 6 work work NN cord-017142-vx3rgs4r 83 7 - - HYPH cord-017142-vx3rgs4r 83 8 up up NN cord-017142-vx3rgs4r 83 9 include include VBP cord-017142-vx3rgs4r 83 10 easy easy JJ cord-017142-vx3rgs4r 83 11 bruising bruising NN cord-017142-vx3rgs4r 83 12 , , , cord-017142-vx3rgs4r 83 13 periorbital periorbital NNP cord-017142-vx3rgs4r 83 14 purpura purpura NN cord-017142-vx3rgs4r 83 15 , , , cord-017142-vx3rgs4r 83 16 macroglossia macroglossia NNP cord-017142-vx3rgs4r 83 17 ( ( -LRB- cord-017142-vx3rgs4r 83 18 which which WDT cord-017142-vx3rgs4r 83 19 is be VBZ cord-017142-vx3rgs4r 83 20 better well RBR cord-017142-vx3rgs4r 83 21 appreciated appreciate VBN cord-017142-vx3rgs4r 83 22 when when WRB cord-017142-vx3rgs4r 83 23 associated associate VBN cord-017142-vx3rgs4r 83 24 with with IN cord-017142-vx3rgs4r 83 25 tooth tooth NN cord-017142-vx3rgs4r 83 26 indentation indentation NN cord-017142-vx3rgs4r 83 27 ) ) -RRB- cord-017142-vx3rgs4r 83 28 , , , cord-017142-vx3rgs4r 83 29 and and CC cord-017142-vx3rgs4r 83 30 carpal carpal NN cord-017142-vx3rgs4r 83 31 tunnel tunnel NN cord-017142-vx3rgs4r 83 32 syndrome syndrome NN cord-017142-vx3rgs4r 83 33 . . . cord-017142-vx3rgs4r 84 1 Once once IN cord-017142-vx3rgs4r 84 2 significant significant JJ cord-017142-vx3rgs4r 84 3 symptoms symptom NNS cord-017142-vx3rgs4r 84 4 of of IN cord-017142-vx3rgs4r 84 5 cardiac cardiac JJ cord-017142-vx3rgs4r 84 6 amyloid amyloid NN cord-017142-vx3rgs4r 84 7 appear appear VBP cord-017142-vx3rgs4r 84 8 , , , cord-017142-vx3rgs4r 84 9 most most RBS cord-017142-vx3rgs4r 84 10 commonly commonly RB cord-017142-vx3rgs4r 84 11 related relate VBN cord-017142-vx3rgs4r 84 12 to to IN cord-017142-vx3rgs4r 84 13 heart heart NN cord-017142-vx3rgs4r 84 14 failure failure NN cord-017142-vx3rgs4r 84 15 , , , cord-017142-vx3rgs4r 84 16 median median JJ cord-017142-vx3rgs4r 84 17 survival survival NN cord-017142-vx3rgs4r 84 18 shortens shorten VBZ cord-017142-vx3rgs4r 84 19 , , , cord-017142-vx3rgs4r 84 20 especially especially RB cord-017142-vx3rgs4r 84 21 in in IN cord-017142-vx3rgs4r 84 22 the the DT cord-017142-vx3rgs4r 84 23 event event NN cord-017142-vx3rgs4r 84 24 of of IN cord-017142-vx3rgs4r 84 25 a a DT cord-017142-vx3rgs4r 84 26 late late JJ cord-017142-vx3rgs4r 84 27 diagnosis diagnosis NN cord-017142-vx3rgs4r 84 28 . . . cord-017142-vx3rgs4r 85 1 Amyloid amyloid JJ cord-017142-vx3rgs4r 85 2 deposition deposition NN cord-017142-vx3rgs4r 85 3 takes take VBZ cord-017142-vx3rgs4r 85 4 place place NN cord-017142-vx3rgs4r 85 5 extracellularly extracellularly RB cord-017142-vx3rgs4r 85 6 throughout throughout IN cord-017142-vx3rgs4r 85 7 the the DT cord-017142-vx3rgs4r 85 8 ventricles ventricle NNS cord-017142-vx3rgs4r 85 9 , , , cord-017142-vx3rgs4r 85 10 atria atria NN cord-017142-vx3rgs4r 85 11 , , , cord-017142-vx3rgs4r 85 12 valves valve NNS cord-017142-vx3rgs4r 85 13 , , , cord-017142-vx3rgs4r 85 14 conduction conduction NN cord-017142-vx3rgs4r 85 15 system system NN cord-017142-vx3rgs4r 85 16 , , , cord-017142-vx3rgs4r 85 17 and and CC cord-017142-vx3rgs4r 85 18 in in IN cord-017142-vx3rgs4r 85 19 the the DT cord-017142-vx3rgs4r 85 20 perivascular perivascular JJ cord-017142-vx3rgs4r 85 21 regions region NNS cord-017142-vx3rgs4r 85 22 of of IN cord-017142-vx3rgs4r 85 23 small small JJ cord-017142-vx3rgs4r 85 24 vessels vessel NNS cord-017142-vx3rgs4r 85 25 . . . cord-017142-vx3rgs4r 86 1 This this DT cord-017142-vx3rgs4r 86 2 eventually eventually RB cord-017142-vx3rgs4r 86 3 leads lead VBZ cord-017142-vx3rgs4r 86 4 to to IN cord-017142-vx3rgs4r 86 5 thickened thickened JJ cord-017142-vx3rgs4r 86 6 , , , cord-017142-vx3rgs4r 86 7 non non JJ cord-017142-vx3rgs4r 86 8 - - JJ cord-017142-vx3rgs4r 86 9 dilated dilated JJ cord-017142-vx3rgs4r 86 10 ventricles ventricle NNS cord-017142-vx3rgs4r 86 11 as as RB cord-017142-vx3rgs4r 86 12 well well RB cord-017142-vx3rgs4r 86 13 as as IN cord-017142-vx3rgs4r 86 14 atrial atrial JJ cord-017142-vx3rgs4r 86 15 thickening thickening NN cord-017142-vx3rgs4r 86 16 that that WDT cord-017142-vx3rgs4r 86 17 eventually eventually RB cord-017142-vx3rgs4r 86 18 progresses progress VBZ cord-017142-vx3rgs4r 86 19 to to TO cord-017142-vx3rgs4r 86 20 thinned thin VBN cord-017142-vx3rgs4r 86 21 dilated dilated JJ cord-017142-vx3rgs4r 86 22 atria atria NN cord-017142-vx3rgs4r 86 23 . . . cord-017142-vx3rgs4r 87 1 The the DT cord-017142-vx3rgs4r 87 2 serum serum NN cord-017142-vx3rgs4r 87 3 concentration concentration NN cord-017142-vx3rgs4r 87 4 of of IN cord-017142-vx3rgs4r 87 5 free free JJ cord-017142-vx3rgs4r 87 6 light light JJ cord-017142-vx3rgs4r 87 7 chains chain NNS cord-017142-vx3rgs4r 87 8 and and CC cord-017142-vx3rgs4r 87 9 cardiac cardiac JJ cord-017142-vx3rgs4r 87 10 enzymes enzyme NNS cord-017142-vx3rgs4r 87 11 ( ( -LRB- cord-017142-vx3rgs4r 87 12 N n CD cord-017142-vx3rgs4r 87 13 - - HYPH cord-017142-vx3rgs4r 87 14 terminal terminal NN cord-017142-vx3rgs4r 87 15 pro pro JJ cord-017142-vx3rgs4r 87 16 - - JJ cord-017142-vx3rgs4r 87 17 brain brain JJ cord-017142-vx3rgs4r 87 18 natriuretic natriuretic JJ cord-017142-vx3rgs4r 87 19 peptide peptide NN cord-017142-vx3rgs4r 87 20 and and CC cord-017142-vx3rgs4r 87 21 cardiac cardiac JJ cord-017142-vx3rgs4r 87 22 troponins troponin NNS cord-017142-vx3rgs4r 87 23 ) ) -RRB- cord-017142-vx3rgs4r 87 24 are be VBP cord-017142-vx3rgs4r 87 25 sensitive sensitive JJ cord-017142-vx3rgs4r 87 26 markers marker NNS cord-017142-vx3rgs4r 87 27 for for IN cord-017142-vx3rgs4r 87 28 systemic systemic JJ cord-017142-vx3rgs4r 87 29 and and CC cord-017142-vx3rgs4r 87 30 cardiac cardiac JJ cord-017142-vx3rgs4r 87 31 involvement involvement NN cord-017142-vx3rgs4r 87 32 , , , cord-017142-vx3rgs4r 87 33 respectively respectively RB cord-017142-vx3rgs4r 87 34 , , , cord-017142-vx3rgs4r 87 35 in in IN cord-017142-vx3rgs4r 87 36 AL AL NNP cord-017142-vx3rgs4r 87 37 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 87 38 [ [ -LRB- cord-017142-vx3rgs4r 87 39 116 116 CD cord-017142-vx3rgs4r 87 40 ] ] -RRB- cord-017142-vx3rgs4r 87 41 . . . cord-017142-vx3rgs4r 88 1 N n CD cord-017142-vx3rgs4r 88 2 - - HYPH cord-017142-vx3rgs4r 88 3 terminal terminal NN cord-017142-vx3rgs4r 88 4 pro pro JJ cord-017142-vx3rgs4r 88 5 - - JJ cord-017142-vx3rgs4r 88 6 B b NN cord-017142-vx3rgs4r 88 7 - - HYPH cord-017142-vx3rgs4r 88 8 type type NN cord-017142-vx3rgs4r 88 9 natriuretic natriuretic JJ cord-017142-vx3rgs4r 88 10 peptide peptide NN cord-017142-vx3rgs4r 88 11 levels level NNS cord-017142-vx3rgs4r 88 12 are be VBP cord-017142-vx3rgs4r 88 13 elevated elevate VBN cord-017142-vx3rgs4r 88 14 in in IN cord-017142-vx3rgs4r 88 15 cardiac cardiac JJ cord-017142-vx3rgs4r 88 16 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 88 17 , , , cord-017142-vx3rgs4r 88 18 even even RB cord-017142-vx3rgs4r 88 19 in in IN cord-017142-vx3rgs4r 88 20 the the DT cord-017142-vx3rgs4r 88 21 absence absence NN cord-017142-vx3rgs4r 88 22 of of IN cord-017142-vx3rgs4r 88 23 heart heart NN cord-017142-vx3rgs4r 88 24 failure failure NN cord-017142-vx3rgs4r 88 25 , , , cord-017142-vx3rgs4r 88 26 due due IN cord-017142-vx3rgs4r 88 27 to to IN cord-017142-vx3rgs4r 88 28 regional regional JJ cord-017142-vx3rgs4r 88 29 myocardial myocardial JJ cord-017142-vx3rgs4r 88 30 stress stress NN cord-017142-vx3rgs4r 88 31 due due IN cord-017142-vx3rgs4r 88 32 to to IN cord-017142-vx3rgs4r 88 33 fibrillar fibrillar NNP cord-017142-vx3rgs4r 88 34 extracellular extracellular JJ cord-017142-vx3rgs4r 88 35 deposition deposition NN cord-017142-vx3rgs4r 88 36 [ [ -LRB- cord-017142-vx3rgs4r 88 37 90 90 CD cord-017142-vx3rgs4r 88 38 ] ] -RRB- cord-017142-vx3rgs4r 88 39 . . . cord-017142-vx3rgs4r 89 1 Cardiac cardiac JJ cord-017142-vx3rgs4r 89 2 troponins troponin NNS cord-017142-vx3rgs4r 89 3 can can MD cord-017142-vx3rgs4r 89 4 be be VB cord-017142-vx3rgs4r 89 5 elevated elevate VBN cord-017142-vx3rgs4r 89 6 , , , cord-017142-vx3rgs4r 89 7 even even RB cord-017142-vx3rgs4r 89 8 with with IN cord-017142-vx3rgs4r 89 9 an an DT cord-017142-vx3rgs4r 89 10 unremarkable unremarkable JJ cord-017142-vx3rgs4r 89 11 coronary coronary JJ cord-017142-vx3rgs4r 89 12 angiography angiography NN cord-017142-vx3rgs4r 89 13 , , , cord-017142-vx3rgs4r 89 14 due due IN cord-017142-vx3rgs4r 89 15 to to IN cord-017142-vx3rgs4r 89 16 predominant predominant JJ cord-017142-vx3rgs4r 89 17 deposition deposition NN cord-017142-vx3rgs4r 89 18 in in IN cord-017142-vx3rgs4r 89 19 the the DT cord-017142-vx3rgs4r 89 20 small small JJ cord-017142-vx3rgs4r 89 21 intramural intramural JJ cord-017142-vx3rgs4r 89 22 vessels vessel NNS cord-017142-vx3rgs4r 89 23 sparing spare VBG cord-017142-vx3rgs4r 89 24 the the DT cord-017142-vx3rgs4r 89 25 epicardial epicardial JJ cord-017142-vx3rgs4r 89 26 arteries artery NNS cord-017142-vx3rgs4r 89 27 , , , cord-017142-vx3rgs4r 89 28 but but CC cord-017142-vx3rgs4r 89 29 associated associate VBN cord-017142-vx3rgs4r 89 30 with with IN cord-017142-vx3rgs4r 89 31 nonischemic nonischemic JJ cord-017142-vx3rgs4r 89 32 destruction destruction NN cord-017142-vx3rgs4r 89 33 of of IN cord-017142-vx3rgs4r 89 34 cardiomyocytes cardiomyocyte NNS cord-017142-vx3rgs4r 89 35 . . . cord-017142-vx3rgs4r 90 1 ECG ECG NNP cord-017142-vx3rgs4r 90 2 findings finding NNS cord-017142-vx3rgs4r 90 3 suggestive suggestive JJ cord-017142-vx3rgs4r 90 4 of of IN cord-017142-vx3rgs4r 90 5 cardiac cardiac JJ cord-017142-vx3rgs4r 90 6 involvement involvement NN cord-017142-vx3rgs4r 90 7 include include VBP cord-017142-vx3rgs4r 90 8 a a DT cord-017142-vx3rgs4r 90 9 pattern pattern NN cord-017142-vx3rgs4r 90 10 of of IN cord-017142-vx3rgs4r 90 11 low low JJ cord-017142-vx3rgs4r 90 12 voltage voltage NN cord-017142-vx3rgs4r 90 13 ( ( -LRB- cord-017142-vx3rgs4r 90 14 cardiac cardiac JJ cord-017142-vx3rgs4r 90 15 changes change NNS cord-017142-vx3rgs4r 90 16 from from IN cord-017142-vx3rgs4r 90 17 amyloid amyloid JJ cord-017142-vx3rgs4r 90 18 infiltration infiltration NN cord-017142-vx3rgs4r 90 19 rather rather RB cord-017142-vx3rgs4r 90 20 than than IN cord-017142-vx3rgs4r 90 21 myocyte myocyte NNP cord-017142-vx3rgs4r 90 22 hypertrophy hypertrophy NN cord-017142-vx3rgs4r 90 23 ) ) -RRB- cord-017142-vx3rgs4r 90 24 defined define VBN cord-017142-vx3rgs4r 90 25 as as IN cord-017142-vx3rgs4r 90 26 a a DT cord-017142-vx3rgs4r 90 27 QRS qrs NN cord-017142-vx3rgs4r 90 28 voltage voltage NN cord-017142-vx3rgs4r 90 29 amplitude amplitude NN cord-017142-vx3rgs4r 90 30 of of IN cord-017142-vx3rgs4r 90 31 0.5 0.5 CD cord-017142-vx3rgs4r 90 32 mV mv NN cord-017142-vx3rgs4r 90 33 in in IN cord-017142-vx3rgs4r 90 34 all all DT cord-017142-vx3rgs4r 90 35 limb limb NN cord-017142-vx3rgs4r 90 36 leads lead VBZ cord-017142-vx3rgs4r 90 37 or or CC cord-017142-vx3rgs4r 90 38 1 1 CD cord-017142-vx3rgs4r 90 39 mV mV NNS cord-017142-vx3rgs4r 90 40 in in IN cord-017142-vx3rgs4r 90 41 all all DT cord-017142-vx3rgs4r 90 42 precordial precordial JJ cord-017142-vx3rgs4r 90 43 leads lead NNS cord-017142-vx3rgs4r 90 44 ( ( -LRB- cord-017142-vx3rgs4r 90 45 sensitivity sensitivity NN cord-017142-vx3rgs4r 90 46 45 45 CD cord-017142-vx3rgs4r 90 47 - - SYM cord-017142-vx3rgs4r 90 48 70 70 CD cord-017142-vx3rgs4r 90 49 % % NN cord-017142-vx3rgs4r 90 50 ) ) -RRB- cord-017142-vx3rgs4r 90 51 . . . cord-017142-vx3rgs4r 91 1 This this DT cord-017142-vx3rgs4r 91 2 may may MD cord-017142-vx3rgs4r 91 3 be be VB cord-017142-vx3rgs4r 91 4 described describe VBN cord-017142-vx3rgs4r 91 5 as as IN cord-017142-vx3rgs4r 91 6 a a DT cord-017142-vx3rgs4r 91 7 pseudo pseudo JJ cord-017142-vx3rgs4r 91 8 - - JJ cord-017142-vx3rgs4r 91 9 infarct infarct JJ cord-017142-vx3rgs4r 91 10 pattern pattern NN cord-017142-vx3rgs4r 91 11 ( ( -LRB- cord-017142-vx3rgs4r 91 12 50 50 CD cord-017142-vx3rgs4r 91 13 - - SYM cord-017142-vx3rgs4r 91 14 75 75 CD cord-017142-vx3rgs4r 91 15 % % NN cord-017142-vx3rgs4r 91 16 ) ) -RRB- cord-017142-vx3rgs4r 91 17 . . . cord-017142-vx3rgs4r 92 1 Atrioventricular atrioventricular JJ cord-017142-vx3rgs4r 92 2 right right NN cord-017142-vx3rgs4r 92 3 - - HYPH cord-017142-vx3rgs4r 92 4 or or CC cord-017142-vx3rgs4r 92 5 left left JJ cord-017142-vx3rgs4r 92 6 - - HYPH cord-017142-vx3rgs4r 92 7 bundle bundle NN cord-017142-vx3rgs4r 92 8 branch branch NN cord-017142-vx3rgs4r 92 9 blocks block NNS cord-017142-vx3rgs4r 92 10 may may MD cord-017142-vx3rgs4r 92 11 also also RB cord-017142-vx3rgs4r 92 12 suggest suggest VB cord-017142-vx3rgs4r 92 13 cardiac cardiac JJ cord-017142-vx3rgs4r 92 14 amyloid amyloid NN cord-017142-vx3rgs4r 92 15 . . . cord-017142-vx3rgs4r 93 1 Echocardiography echocardiography NN cord-017142-vx3rgs4r 93 2 in in IN cord-017142-vx3rgs4r 93 3 advanced advanced JJ cord-017142-vx3rgs4r 93 4 stages stage NNS cord-017142-vx3rgs4r 93 5 usually usually RB cord-017142-vx3rgs4r 93 6 demonstrates demonstrate VBZ cord-017142-vx3rgs4r 93 7 a a DT cord-017142-vx3rgs4r 93 8 restrictive restrictive JJ cord-017142-vx3rgs4r 93 9 pattern pattern NN cord-017142-vx3rgs4r 93 10 due due IN cord-017142-vx3rgs4r 93 11 to to IN cord-017142-vx3rgs4r 93 12 the the DT cord-017142-vx3rgs4r 93 13 structural structural JJ cord-017142-vx3rgs4r 93 14 changes change NNS cord-017142-vx3rgs4r 93 15 and and CC cord-017142-vx3rgs4r 93 16 increased increase VBN cord-017142-vx3rgs4r 93 17 echogenicity echogenicity NN cord-017142-vx3rgs4r 93 18 of of IN cord-017142-vx3rgs4r 93 19 the the DT cord-017142-vx3rgs4r 93 20 myocardium myocardium NN cord-017142-vx3rgs4r 93 21 with with IN cord-017142-vx3rgs4r 93 22 a a DT cord-017142-vx3rgs4r 93 23 " " `` cord-017142-vx3rgs4r 93 24 granular granular JJ cord-017142-vx3rgs4r 93 25 speckling speckling NN cord-017142-vx3rgs4r 93 26 " " '' cord-017142-vx3rgs4r 93 27 ( ( -LRB- cord-017142-vx3rgs4r 93 28 low low JJ cord-017142-vx3rgs4r 93 29 sensitivity sensitivity NN cord-017142-vx3rgs4r 93 30 of of IN cord-017142-vx3rgs4r 93 31 26 26 CD cord-017142-vx3rgs4r 93 32 - - SYM cord-017142-vx3rgs4r 93 33 36 36 CD cord-017142-vx3rgs4r 93 34 % % NN cord-017142-vx3rgs4r 93 35 but but CC cord-017142-vx3rgs4r 93 36 with with IN cord-017142-vx3rgs4r 93 37 a a DT cord-017142-vx3rgs4r 93 38 high high JJ cord-017142-vx3rgs4r 93 39 specificity specificity NN cord-017142-vx3rgs4r 93 40 ( ( -LRB- cord-017142-vx3rgs4r 93 41 71 71 CD cord-017142-vx3rgs4r 93 42 - - SYM cord-017142-vx3rgs4r 93 43 81 81 CD cord-017142-vx3rgs4r 93 44 % % NN cord-017142-vx3rgs4r 93 45 ) ) -RRB- cord-017142-vx3rgs4r 93 46 ) ) -RRB- cord-017142-vx3rgs4r 93 47 . . . cord-017142-vx3rgs4r 94 1 Cardiac Cardiac NNP cord-017142-vx3rgs4r 94 2 MRI MRI NNP cord-017142-vx3rgs4r 94 3 in in IN cord-017142-vx3rgs4r 94 4 advanced advanced JJ cord-017142-vx3rgs4r 94 5 cardiac cardiac JJ cord-017142-vx3rgs4r 94 6 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 94 7 shows show NNS cord-017142-vx3rgs4r 94 8 diffuse diffuse JJ cord-017142-vx3rgs4r 94 9 subendocardial subendocardial JJ cord-017142-vx3rgs4r 94 10 heterogeneous heterogeneous JJ cord-017142-vx3rgs4r 94 11 enhancement enhancement NN cord-017142-vx3rgs4r 94 12 in in IN cord-017142-vx3rgs4r 94 13 a a DT cord-017142-vx3rgs4r 94 14 nonvascular nonvascular JJ cord-017142-vx3rgs4r 94 15 distribution distribution NN cord-017142-vx3rgs4r 94 16 on on IN cord-017142-vx3rgs4r 94 17 delayed delay VBN cord-017142-vx3rgs4r 94 18 contrast contrast NN cord-017142-vx3rgs4r 94 19 - - HYPH cord-017142-vx3rgs4r 94 20 enhanced enhance VBN cord-017142-vx3rgs4r 94 21 MR MR NNP cord-017142-vx3rgs4r 94 22 images image NNS cord-017142-vx3rgs4r 94 23 using use VBG cord-017142-vx3rgs4r 94 24 inversion inversion NN cord-017142-vx3rgs4r 94 25 recovery recovery NN cord-017142-vx3rgs4r 94 26 technique technique NN cord-017142-vx3rgs4r 94 27 . . . cord-017142-vx3rgs4r 95 1 This this DT cord-017142-vx3rgs4r 95 2 , , , cord-017142-vx3rgs4r 95 3 along along IN cord-017142-vx3rgs4r 95 4 with with IN cord-017142-vx3rgs4r 95 5 diffuse diffuse JJ cord-017142-vx3rgs4r 95 6 multichambered multichambered JJ cord-017142-vx3rgs4r 95 7 wall wall NN cord-017142-vx3rgs4r 95 8 thickening thickening NN cord-017142-vx3rgs4r 95 9 , , , cord-017142-vx3rgs4r 95 10 posterior posterior JJ cord-017142-vx3rgs4r 95 11 right right JJ cord-017142-vx3rgs4r 95 12 atrial atrial JJ cord-017142-vx3rgs4r 95 13 wall wall NN cord-017142-vx3rgs4r 95 14 thickening thickening NN cord-017142-vx3rgs4r 95 15 , , , cord-017142-vx3rgs4r 95 16 or or CC cord-017142-vx3rgs4r 95 17 interatrial interatrial JJ cord-017142-vx3rgs4r 95 18 septal septal JJ cord-017142-vx3rgs4r 95 19 thickening thickening NN cord-017142-vx3rgs4r 95 20 > > XX cord-017142-vx3rgs4r 95 21 6 6 CD cord-017142-vx3rgs4r 95 22 mm mm NN cord-017142-vx3rgs4r 95 23 , , , cord-017142-vx3rgs4r 95 24 is be VBZ cord-017142-vx3rgs4r 95 25 specific specific JJ cord-017142-vx3rgs4r 95 26 to to IN cord-017142-vx3rgs4r 95 27 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 95 28 [ [ -LRB- cord-017142-vx3rgs4r 95 29 10 10 CD cord-017142-vx3rgs4r 95 30 , , , cord-017142-vx3rgs4r 95 31 112 112 CD cord-017142-vx3rgs4r 95 32 , , , cord-017142-vx3rgs4r 95 33 126 126 CD cord-017142-vx3rgs4r 95 34 ] ] -RRB- cord-017142-vx3rgs4r 95 35 . . . cord-017142-vx3rgs4r 96 1 Cardiac cardiac JJ cord-017142-vx3rgs4r 96 2 catheterization catheterization NN cord-017142-vx3rgs4r 96 3 is be VBZ cord-017142-vx3rgs4r 96 4 not not RB cord-017142-vx3rgs4r 96 5 always always RB cord-017142-vx3rgs4r 96 6 required require VBN cord-017142-vx3rgs4r 96 7 but but CC cord-017142-vx3rgs4r 96 8 used use VBD cord-017142-vx3rgs4r 96 9 to to TO cord-017142-vx3rgs4r 96 10 obtain obtain VB cord-017142-vx3rgs4r 96 11 endomyocardial endomyocardial JJ cord-017142-vx3rgs4r 96 12 biopsy biopsy NN cord-017142-vx3rgs4r 96 13 . . . cord-017142-vx3rgs4r 97 1 It -PRON- PRP cord-017142-vx3rgs4r 97 2 may may MD cord-017142-vx3rgs4r 97 3 help help VB cord-017142-vx3rgs4r 97 4 to to TO cord-017142-vx3rgs4r 97 5 provide provide VB cord-017142-vx3rgs4r 97 6 important important JJ cord-017142-vx3rgs4r 97 7 information information NN cord-017142-vx3rgs4r 97 8 for for IN cord-017142-vx3rgs4r 97 9 cardiac cardiac JJ cord-017142-vx3rgs4r 97 10 hemodynamics hemodynamic NNS cord-017142-vx3rgs4r 97 11 , , , cord-017142-vx3rgs4r 97 12 which which WDT cord-017142-vx3rgs4r 97 13 generally generally RB cord-017142-vx3rgs4r 97 14 shows show VBZ cord-017142-vx3rgs4r 97 15 impaired impaired JJ cord-017142-vx3rgs4r 97 16 ventricular ventricular JJ cord-017142-vx3rgs4r 97 17 filling fill VBG cord-017142-vx3rgs4r 97 18 with with IN cord-017142-vx3rgs4r 97 19 an an DT cord-017142-vx3rgs4r 97 20 elevated elevated JJ cord-017142-vx3rgs4r 97 21 left left JJ cord-017142-vx3rgs4r 97 22 ventricular ventricular JJ cord-017142-vx3rgs4r 97 23 end end NN cord-017142-vx3rgs4r 97 24 - - HYPH cord-017142-vx3rgs4r 97 25 diastolic diastolic JJ cord-017142-vx3rgs4r 97 26 pressure pressure NN cord-017142-vx3rgs4r 97 27 . . . cord-017142-vx3rgs4r 98 1 Demonstration demonstration NN cord-017142-vx3rgs4r 98 2 of of IN cord-017142-vx3rgs4r 98 3 left left JJ cord-017142-vx3rgs4r 98 4 ventricular ventricular JJ cord-017142-vx3rgs4r 98 5 diastolic diastolic JJ cord-017142-vx3rgs4r 98 6 pressure pressure NN cord-017142-vx3rgs4r 98 7 greater great JJR cord-017142-vx3rgs4r 98 8 than than IN cord-017142-vx3rgs4r 98 9 right right JJ cord-017142-vx3rgs4r 98 10 remains remain VBZ cord-017142-vx3rgs4r 98 11 to to TO cord-017142-vx3rgs4r 98 12 distinguish distinguish VB cord-017142-vx3rgs4r 98 13 restrictive restrictive JJ cord-017142-vx3rgs4r 98 14 cardiomyopathy cardiomyopathy NN cord-017142-vx3rgs4r 98 15 from from IN cord-017142-vx3rgs4r 98 16 its -PRON- PRP$ cord-017142-vx3rgs4r 98 17 differential differential JJ cord-017142-vx3rgs4r 98 18 diagnosis diagnosis NN cord-017142-vx3rgs4r 98 19 of of IN cord-017142-vx3rgs4r 98 20 constrictive constrictive JJ cord-017142-vx3rgs4r 98 21 pericarditis pericarditis NN cord-017142-vx3rgs4r 98 22 . . . cord-017142-vx3rgs4r 99 1 Fine fine JJ cord-017142-vx3rgs4r 99 2 - - HYPH cord-017142-vx3rgs4r 99 3 needle needle NN cord-017142-vx3rgs4r 99 4 aspiration aspiration NN cord-017142-vx3rgs4r 99 5 of of IN cord-017142-vx3rgs4r 99 6 abdominal abdominal JJ cord-017142-vx3rgs4r 99 7 fat fat NN cord-017142-vx3rgs4r 99 8 is be VBZ cord-017142-vx3rgs4r 99 9 relatively relatively RB cord-017142-vx3rgs4r 99 10 sensitive sensitive JJ cord-017142-vx3rgs4r 99 11 for for IN cord-017142-vx3rgs4r 99 12 amyloid amyloid NN cord-017142-vx3rgs4r 99 13 deposits deposit NNS cord-017142-vx3rgs4r 99 14 ( ( -LRB- cord-017142-vx3rgs4r 99 15 > > XX cord-017142-vx3rgs4r 100 1 70 70 CD cord-017142-vx3rgs4r 100 2 % % NN cord-017142-vx3rgs4r 100 3 of of IN cord-017142-vx3rgs4r 100 4 patients patient NNS cord-017142-vx3rgs4r 100 5 with with IN cord-017142-vx3rgs4r 100 6 AL AL NNP cord-017142-vx3rgs4r 100 7 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 100 8 ) ) -RRB- cord-017142-vx3rgs4r 101 1 ; ; : cord-017142-vx3rgs4r 101 2 other other JJ cord-017142-vx3rgs4r 101 3 sites site NNS cord-017142-vx3rgs4r 101 4 of of IN cord-017142-vx3rgs4r 101 5 amyloid amyloid NN cord-017142-vx3rgs4r 101 6 deposition deposition NN cord-017142-vx3rgs4r 101 7 include include VBP cord-017142-vx3rgs4r 101 8 minor minor JJ cord-017142-vx3rgs4r 101 9 salivary salivary NN cord-017142-vx3rgs4r 101 10 glands gland NNS cord-017142-vx3rgs4r 101 11 , , , cord-017142-vx3rgs4r 101 12 gingiva gingiva NN cord-017142-vx3rgs4r 101 13 , , , cord-017142-vx3rgs4r 101 14 and and CC cord-017142-vx3rgs4r 101 15 rectum rectum NN cord-017142-vx3rgs4r 101 16 [ [ -LRB- cord-017142-vx3rgs4r 101 17 3 3 CD cord-017142-vx3rgs4r 101 18 , , , cord-017142-vx3rgs4r 101 19 69 69 CD cord-017142-vx3rgs4r 101 20 ] ] -RRB- cord-017142-vx3rgs4r 101 21 . . . cord-017142-vx3rgs4r 102 1 In in IN cord-017142-vx3rgs4r 102 2 a a DT cord-017142-vx3rgs4r 102 3 patient patient NN cord-017142-vx3rgs4r 102 4 with with IN cord-017142-vx3rgs4r 102 5 clinical clinical JJ cord-017142-vx3rgs4r 102 6 suspicion suspicion NN cord-017142-vx3rgs4r 102 7 of of IN cord-017142-vx3rgs4r 102 8 cardiac cardiac JJ cord-017142-vx3rgs4r 102 9 involvement involvement NN cord-017142-vx3rgs4r 102 10 , , , cord-017142-vx3rgs4r 102 11 the the DT cord-017142-vx3rgs4r 102 12 presence presence NN cord-017142-vx3rgs4r 102 13 of of IN cord-017142-vx3rgs4r 102 14 physical physical JJ cord-017142-vx3rgs4r 102 15 exam exam NN cord-017142-vx3rgs4r 102 16 findings finding NNS cord-017142-vx3rgs4r 102 17 , , , cord-017142-vx3rgs4r 102 18 blood blood NN cord-017142-vx3rgs4r 102 19 markers marker NNS cord-017142-vx3rgs4r 102 20 , , , cord-017142-vx3rgs4r 102 21 imaging imaging NN cord-017142-vx3rgs4r 102 22 , , , cord-017142-vx3rgs4r 102 23 and and CC cord-017142-vx3rgs4r 102 24 a a DT cord-017142-vx3rgs4r 102 25 cardiac cardiac JJ cord-017142-vx3rgs4r 102 26 biopsy biopsy NN cord-017142-vx3rgs4r 102 27 consistent consistent JJ cord-017142-vx3rgs4r 102 28 with with IN cord-017142-vx3rgs4r 102 29 amyloid amyloid NN cord-017142-vx3rgs4r 102 30 are be VBP cord-017142-vx3rgs4r 102 31 adequate adequate JJ cord-017142-vx3rgs4r 102 32 for for IN cord-017142-vx3rgs4r 102 33 diagnosis diagnosis NN cord-017142-vx3rgs4r 102 34 . . . cord-017142-vx3rgs4r 103 1 Patients patient NNS cord-017142-vx3rgs4r 103 2 presenting present VBG cord-017142-vx3rgs4r 103 3 with with IN cord-017142-vx3rgs4r 103 4 acute acute JJ cord-017142-vx3rgs4r 103 5 heart heart NN cord-017142-vx3rgs4r 103 6 failure failure NN cord-017142-vx3rgs4r 103 7 in in IN cord-017142-vx3rgs4r 103 8 AL AL NNP cord-017142-vx3rgs4r 103 9 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 103 10 require require VBP cord-017142-vx3rgs4r 103 11 intensive intensive JJ cord-017142-vx3rgs4r 103 12 care care NN cord-017142-vx3rgs4r 103 13 monitoring monitoring NN cord-017142-vx3rgs4r 103 14 and and CC cord-017142-vx3rgs4r 103 15 aggressive aggressive JJ cord-017142-vx3rgs4r 103 16 supportive supportive JJ cord-017142-vx3rgs4r 103 17 care care NN cord-017142-vx3rgs4r 103 18 . . . cord-017142-vx3rgs4r 104 1 Diuresis Diuresis NNP cord-017142-vx3rgs4r 104 2 is be VBZ cord-017142-vx3rgs4r 104 3 the the DT cord-017142-vx3rgs4r 104 4 key key NN cord-017142-vx3rgs4r 104 5 and and CC cord-017142-vx3rgs4r 104 6 is be VBZ cord-017142-vx3rgs4r 104 7 probably probably RB cord-017142-vx3rgs4r 104 8 the the DT cord-017142-vx3rgs4r 104 9 only only JJ cord-017142-vx3rgs4r 104 10 treatment treatment NN cord-017142-vx3rgs4r 104 11 modality modality NN cord-017142-vx3rgs4r 104 12 that that WDT cord-017142-vx3rgs4r 104 13 can can MD cord-017142-vx3rgs4r 104 14 improve improve VB cord-017142-vx3rgs4r 104 15 hemodynamics hemodynamic NNS cord-017142-vx3rgs4r 104 16 . . . cord-017142-vx3rgs4r 105 1 Optimal optimal JJ cord-017142-vx3rgs4r 105 2 therapy therapy NN cord-017142-vx3rgs4r 105 3 usually usually RB cord-017142-vx3rgs4r 105 4 requires require VBZ cord-017142-vx3rgs4r 105 5 using use VBG cord-017142-vx3rgs4r 105 6 higher high JJR cord-017142-vx3rgs4r 105 7 doses dose NNS cord-017142-vx3rgs4r 105 8 of of IN cord-017142-vx3rgs4r 105 9 diuretics diuretic NNS cord-017142-vx3rgs4r 105 10 or or CC cord-017142-vx3rgs4r 105 11 in in IN cord-017142-vx3rgs4r 105 12 combinations combination NNS cord-017142-vx3rgs4r 105 13 ( ( -LRB- cord-017142-vx3rgs4r 105 14 furosemide furosemide NN cord-017142-vx3rgs4r 105 15 , , , cord-017142-vx3rgs4r 105 16 torsemide torsemide NNP cord-017142-vx3rgs4r 105 17 , , , cord-017142-vx3rgs4r 105 18 spironolactone spironolactone NNP cord-017142-vx3rgs4r 105 19 , , , cord-017142-vx3rgs4r 105 20 and and CC cord-017142-vx3rgs4r 105 21 metolazone metolazone NNP cord-017142-vx3rgs4r 105 22 ) ) -RRB- cord-017142-vx3rgs4r 105 23 to to TO cord-017142-vx3rgs4r 105 24 maintain maintain VB cord-017142-vx3rgs4r 105 25 adequate adequate JJ cord-017142-vx3rgs4r 105 26 diuresis diuresis NN cord-017142-vx3rgs4r 105 27 , , , cord-017142-vx3rgs4r 105 28 especially especially RB cord-017142-vx3rgs4r 105 29 in in IN cord-017142-vx3rgs4r 105 30 the the DT cord-017142-vx3rgs4r 105 31 setting setting NN cord-017142-vx3rgs4r 105 32 of of IN cord-017142-vx3rgs4r 105 33 nephrotic nephrotic JJ cord-017142-vx3rgs4r 105 34 syndrome syndrome NN cord-017142-vx3rgs4r 105 35 . . . cord-017142-vx3rgs4r 106 1 An an DT cord-017142-vx3rgs4r 106 2 intravenous intravenous JJ cord-017142-vx3rgs4r 106 3 route route NN cord-017142-vx3rgs4r 106 4 is be VBZ cord-017142-vx3rgs4r 106 5 likely likely RB cord-017142-vx3rgs4r 106 6 preferred prefer VBN cord-017142-vx3rgs4r 106 7 in in IN cord-017142-vx3rgs4r 106 8 the the DT cord-017142-vx3rgs4r 106 9 acute acute JJ cord-017142-vx3rgs4r 106 10 stage stage NN cord-017142-vx3rgs4r 106 11 , , , cord-017142-vx3rgs4r 106 12 due due IN cord-017142-vx3rgs4r 106 13 to to IN cord-017142-vx3rgs4r 106 14 the the DT cord-017142-vx3rgs4r 106 15 often often RB cord-017142-vx3rgs4r 106 16 - - HYPH cord-017142-vx3rgs4r 106 17 present present JJ cord-017142-vx3rgs4r 106 18 gut gut NN cord-017142-vx3rgs4r 106 19 edema edema NN cord-017142-vx3rgs4r 106 20 and and CC cord-017142-vx3rgs4r 106 21 better well JJR cord-017142-vx3rgs4r 106 22 bioavailability bioavailability NN cord-017142-vx3rgs4r 106 23 . . . cord-017142-vx3rgs4r 107 1 Aggressive aggressive JJ cord-017142-vx3rgs4r 107 2 supportive supportive JJ cord-017142-vx3rgs4r 107 3 care care NN cord-017142-vx3rgs4r 107 4 includes include VBZ cord-017142-vx3rgs4r 107 5 maintaining maintain VBG cord-017142-vx3rgs4r 107 6 strict strict JJ cord-017142-vx3rgs4r 107 7 intake intake NN cord-017142-vx3rgs4r 107 8 output output NN cord-017142-vx3rgs4r 107 9 measurements measurement NNS cord-017142-vx3rgs4r 107 10 , , , cord-017142-vx3rgs4r 107 11 dietary dietary JJ cord-017142-vx3rgs4r 107 12 salt salt NN cord-017142-vx3rgs4r 107 13 restriction restriction NN cord-017142-vx3rgs4r 107 14 , , , cord-017142-vx3rgs4r 107 15 measuring measure VBG cord-017142-vx3rgs4r 107 16 daily daily JJ cord-017142-vx3rgs4r 107 17 weights weight NNS cord-017142-vx3rgs4r 107 18 , , , cord-017142-vx3rgs4r 107 19 and and CC cord-017142-vx3rgs4r 107 20 monitoring monitor VBG cord-017142-vx3rgs4r 107 21 for for IN cord-017142-vx3rgs4r 107 22 arrhythmias arrhythmia NNS cord-017142-vx3rgs4r 107 23 . . . cord-017142-vx3rgs4r 108 1 The the DT cord-017142-vx3rgs4r 108 2 uses use NNS cord-017142-vx3rgs4r 108 3 of of IN cord-017142-vx3rgs4r 108 4 cardiac cardiac JJ cord-017142-vx3rgs4r 108 5 protective protective JJ cord-017142-vx3rgs4r 108 6 drugs drug NNS cord-017142-vx3rgs4r 108 7 such such JJ cord-017142-vx3rgs4r 108 8 as as IN cord-017142-vx3rgs4r 108 9 beta beta NN cord-017142-vx3rgs4r 108 10 - - HYPH cord-017142-vx3rgs4r 108 11 blockers blocker NNS cord-017142-vx3rgs4r 108 12 should should MD cord-017142-vx3rgs4r 108 13 be be VB cord-017142-vx3rgs4r 108 14 reserved reserve VBN cord-017142-vx3rgs4r 108 15 for for IN cord-017142-vx3rgs4r 108 16 cases case NNS cord-017142-vx3rgs4r 108 17 of of IN cord-017142-vx3rgs4r 108 18 atrial atrial JJ cord-017142-vx3rgs4r 108 19 fibrillation fibrillation NN cord-017142-vx3rgs4r 108 20 to to TO cord-017142-vx3rgs4r 108 21 maintain maintain VB cord-017142-vx3rgs4r 108 22 adequate adequate JJ cord-017142-vx3rgs4r 108 23 filling filling NN cord-017142-vx3rgs4r 108 24 pressure pressure NN cord-017142-vx3rgs4r 108 25 . . . cord-017142-vx3rgs4r 109 1 In in IN cord-017142-vx3rgs4r 109 2 patients patient NNS cord-017142-vx3rgs4r 109 3 without without IN cord-017142-vx3rgs4r 109 4 AF AF NNP cord-017142-vx3rgs4r 109 5 , , , cord-017142-vx3rgs4r 109 6 its -PRON- PRP$ cord-017142-vx3rgs4r 109 7 use use NN cord-017142-vx3rgs4r 109 8 should should MD cord-017142-vx3rgs4r 109 9 be be VB cord-017142-vx3rgs4r 109 10 discussed discuss VBN cord-017142-vx3rgs4r 109 11 on on IN cord-017142-vx3rgs4r 109 12 a a DT cord-017142-vx3rgs4r 109 13 case case NN cord-017142-vx3rgs4r 109 14 - - HYPH cord-017142-vx3rgs4r 109 15 by by IN cord-017142-vx3rgs4r 109 16 - - HYPH cord-017142-vx3rgs4r 109 17 case case NN cord-017142-vx3rgs4r 109 18 basis basis NN cord-017142-vx3rgs4r 109 19 , , , cord-017142-vx3rgs4r 109 20 considering consider VBG cord-017142-vx3rgs4r 109 21 the the DT cord-017142-vx3rgs4r 109 22 significant significant JJ cord-017142-vx3rgs4r 109 23 risks risk NNS cord-017142-vx3rgs4r 109 24 including include VBG cord-017142-vx3rgs4r 109 25 labile labile JJ cord-017142-vx3rgs4r 109 26 blood blood NN cord-017142-vx3rgs4r 109 27 pressure pressure NN cord-017142-vx3rgs4r 109 28 due due IN cord-017142-vx3rgs4r 109 29 to to IN cord-017142-vx3rgs4r 109 30 autonomic autonomic JJ cord-017142-vx3rgs4r 109 31 neuropathy neuropathy NN cord-017142-vx3rgs4r 109 32 and and CC cord-017142-vx3rgs4r 109 33 risk risk NN cord-017142-vx3rgs4r 109 34 of of IN cord-017142-vx3rgs4r 109 35 bradycardia bradycardia NN cord-017142-vx3rgs4r 109 36 due due IN cord-017142-vx3rgs4r 109 37 to to IN cord-017142-vx3rgs4r 109 38 coexistent coexistent JJ cord-017142-vx3rgs4r 109 39 conduction conduction NN cord-017142-vx3rgs4r 109 40 defects defect NNS cord-017142-vx3rgs4r 109 41 . . . cord-017142-vx3rgs4r 110 1 Caution caution NN cord-017142-vx3rgs4r 110 2 should should MD cord-017142-vx3rgs4r 110 3 be be VB cord-017142-vx3rgs4r 110 4 maintained maintain VBN cord-017142-vx3rgs4r 110 5 with with IN cord-017142-vx3rgs4r 110 6 the the DT cord-017142-vx3rgs4r 110 7 use use NN cord-017142-vx3rgs4r 110 8 of of IN cord-017142-vx3rgs4r 110 9 angiotensin angiotensin NN cord-017142-vx3rgs4r 110 10 - - HYPH cord-017142-vx3rgs4r 110 11 converting convert VBG cord-017142-vx3rgs4r 110 12 enzyme enzyme NN cord-017142-vx3rgs4r 110 13 inhibitors inhibitor NNS cord-017142-vx3rgs4r 110 14 and and CC cord-017142-vx3rgs4r 110 15 angiotensin angiotensin NN cord-017142-vx3rgs4r 110 16 II II NNP cord-017142-vx3rgs4r 110 17 inhibitors inhibitor NNS cord-017142-vx3rgs4r 110 18 , , , cord-017142-vx3rgs4r 110 19 due due JJ cord-017142-vx3rgs4r 110 20 to to IN cord-017142-vx3rgs4r 110 21 similar similar JJ cord-017142-vx3rgs4r 110 22 risk risk NN cord-017142-vx3rgs4r 110 23 of of IN cord-017142-vx3rgs4r 110 24 exacerbating exacerbate VBG cord-017142-vx3rgs4r 110 25 hypotension hypotension NN cord-017142-vx3rgs4r 110 26 . . . cord-017142-vx3rgs4r 111 1 Both both DT cord-017142-vx3rgs4r 111 2 digoxin digoxin NN cord-017142-vx3rgs4r 111 3 and and CC cord-017142-vx3rgs4r 111 4 calcium calcium NN cord-017142-vx3rgs4r 111 5 blockers blocker NNS cord-017142-vx3rgs4r 111 6 , , , cord-017142-vx3rgs4r 111 7 especially especially RB cord-017142-vx3rgs4r 111 8 nifedipine nifedipine NN cord-017142-vx3rgs4r 111 9 , , , cord-017142-vx3rgs4r 111 10 have have VBP cord-017142-vx3rgs4r 111 11 the the DT cord-017142-vx3rgs4r 111 12 tendency tendency NN cord-017142-vx3rgs4r 111 13 to to TO cord-017142-vx3rgs4r 111 14 bind bind VB cord-017142-vx3rgs4r 111 15 to to IN cord-017142-vx3rgs4r 111 16 amyloid amyloid NN cord-017142-vx3rgs4r 111 17 fibrils fibril NNS cord-017142-vx3rgs4r 111 18 . . . cord-017142-vx3rgs4r 112 1 This this DT cord-017142-vx3rgs4r 112 2 can can MD cord-017142-vx3rgs4r 112 3 precipitate precipitate VB cord-017142-vx3rgs4r 112 4 congestive congestive JJ cord-017142-vx3rgs4r 112 5 heart heart NN cord-017142-vx3rgs4r 112 6 failure failure NN cord-017142-vx3rgs4r 112 7 due due JJ cord-017142-vx3rgs4r 112 8 to to IN cord-017142-vx3rgs4r 112 9 increased increase VBN cord-017142-vx3rgs4r 112 10 susceptibility susceptibility NN cord-017142-vx3rgs4r 112 11 to to IN cord-017142-vx3rgs4r 112 12 digoxin digoxin NN cord-017142-vx3rgs4r 112 13 toxicity toxicity NN cord-017142-vx3rgs4r 112 14 and and CC cord-017142-vx3rgs4r 112 15 enhance enhance VB cord-017142-vx3rgs4r 112 16 the the DT cord-017142-vx3rgs4r 112 17 negative negative JJ cord-017142-vx3rgs4r 112 18 ionotropic ionotropic JJ cord-017142-vx3rgs4r 112 19 effect effect NN cord-017142-vx3rgs4r 112 20 with with IN cord-017142-vx3rgs4r 112 21 calcium calcium NN cord-017142-vx3rgs4r 112 22 channel channel NN cord-017142-vx3rgs4r 112 23 blockers blocker NNS cord-017142-vx3rgs4r 112 24 [ [ -LRB- cord-017142-vx3rgs4r 112 25 41 41 CD cord-017142-vx3rgs4r 112 26 , , , cord-017142-vx3rgs4r 112 27 84 84 CD cord-017142-vx3rgs4r 112 28 , , , cord-017142-vx3rgs4r 112 29 107 107 CD cord-017142-vx3rgs4r 112 30 ] ] -RRB- cord-017142-vx3rgs4r 112 31 . . . cord-017142-vx3rgs4r 113 1 Syncope syncope NN cord-017142-vx3rgs4r 113 2 can can MD cord-017142-vx3rgs4r 113 3 result result VB cord-017142-vx3rgs4r 113 4 from from IN cord-017142-vx3rgs4r 113 5 AF AF NNP cord-017142-vx3rgs4r 113 6 with with IN cord-017142-vx3rgs4r 113 7 rapid rapid JJ cord-017142-vx3rgs4r 113 8 heart heart NN cord-017142-vx3rgs4r 113 9 rate rate NN cord-017142-vx3rgs4r 113 10 , , , cord-017142-vx3rgs4r 113 11 embolic embolic JJ cord-017142-vx3rgs4r 113 12 phenomenon phenomenon NN cord-017142-vx3rgs4r 113 13 , , , cord-017142-vx3rgs4r 113 14 conduction conduction NN cord-017142-vx3rgs4r 113 15 defects defect NNS cord-017142-vx3rgs4r 113 16 , , , cord-017142-vx3rgs4r 113 17 bradycardia bradycardia NN cord-017142-vx3rgs4r 113 18 , , , cord-017142-vx3rgs4r 113 19 and and CC cord-017142-vx3rgs4r 113 20 ventricular ventricular JJ cord-017142-vx3rgs4r 113 21 arrhythmias arrhythmia NNS cord-017142-vx3rgs4r 113 22 . . . cord-017142-vx3rgs4r 114 1 The the DT cord-017142-vx3rgs4r 114 2 most most RBS cord-017142-vx3rgs4r 114 3 common common JJ cord-017142-vx3rgs4r 114 4 atrial atrial JJ cord-017142-vx3rgs4r 114 5 arrhythmia arrhythmia NN cord-017142-vx3rgs4r 114 6 ( ( -LRB- cord-017142-vx3rgs4r 114 7 10 10 CD cord-017142-vx3rgs4r 114 8 - - SYM cord-017142-vx3rgs4r 114 9 15 15 CD cord-017142-vx3rgs4r 114 10 % % NN cord-017142-vx3rgs4r 114 11 of of IN cord-017142-vx3rgs4r 114 12 patients patient NNS cord-017142-vx3rgs4r 114 13 ) ) -RRB- cord-017142-vx3rgs4r 114 14 is be VBZ cord-017142-vx3rgs4r 114 15 AF AF NNP cord-017142-vx3rgs4r 114 16 and and CC cord-017142-vx3rgs4r 114 17 is be VBZ cord-017142-vx3rgs4r 114 18 associated associate VBN cord-017142-vx3rgs4r 114 19 with with IN cord-017142-vx3rgs4r 114 20 a a DT cord-017142-vx3rgs4r 114 21 very very RB cord-017142-vx3rgs4r 114 22 high high JJ cord-017142-vx3rgs4r 114 23 incidence incidence NN cord-017142-vx3rgs4r 114 24 of of IN cord-017142-vx3rgs4r 114 25 thromboembolism thromboembolism NN cord-017142-vx3rgs4r 114 26 . . . cord-017142-vx3rgs4r 115 1 In in IN cord-017142-vx3rgs4r 115 2 a a DT cord-017142-vx3rgs4r 115 3 Mayo Mayo NNP cord-017142-vx3rgs4r 115 4 Clinic Clinic NNP cord-017142-vx3rgs4r 115 5 study study NN cord-017142-vx3rgs4r 115 6 , , , cord-017142-vx3rgs4r 115 7 cardiac cardiac JJ cord-017142-vx3rgs4r 115 8 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 115 9 patients patient NNS cord-017142-vx3rgs4r 115 10 undergoing undergo VBG cord-017142-vx3rgs4r 115 11 transesophageal transesophageal NN cord-017142-vx3rgs4r 115 12 echocardiography echocardiography NN cord-017142-vx3rgs4r 115 13 had have VBD cord-017142-vx3rgs4r 115 14 a a DT cord-017142-vx3rgs4r 115 15 higher high JJR cord-017142-vx3rgs4r 115 16 frequency frequency NN cord-017142-vx3rgs4r 115 17 of of IN cord-017142-vx3rgs4r 115 18 intracardiac intracardiac NNP cord-017142-vx3rgs4r 115 19 thrombus thrombus NN cord-017142-vx3rgs4r 115 20 ( ( -LRB- cord-017142-vx3rgs4r 115 21 35 35 CD cord-017142-vx3rgs4r 115 22 % % NN cord-017142-vx3rgs4r 115 23 ) ) -RRB- cord-017142-vx3rgs4r 115 24 irrespective irrespective RB cord-017142-vx3rgs4r 115 25 of of IN cord-017142-vx3rgs4r 115 26 the the DT cord-017142-vx3rgs4r 115 27 presence presence NN cord-017142-vx3rgs4r 115 28 of of IN cord-017142-vx3rgs4r 115 29 atrial atrial JJ cord-017142-vx3rgs4r 115 30 fibrillation fibrillation NN cord-017142-vx3rgs4r 115 31 . . . cord-017142-vx3rgs4r 116 1 Factors factor NNS cord-017142-vx3rgs4r 116 2 associated associate VBN cord-017142-vx3rgs4r 116 3 with with IN cord-017142-vx3rgs4r 116 4 increased increase VBN cord-017142-vx3rgs4r 116 5 risk risk NN cord-017142-vx3rgs4r 116 6 of of IN cord-017142-vx3rgs4r 116 7 intracardiac intracardiac NNP cord-017142-vx3rgs4r 116 8 thrombosis thrombosis NN cord-017142-vx3rgs4r 116 9 include include VBP cord-017142-vx3rgs4r 116 10 atrial atrial JJ cord-017142-vx3rgs4r 116 11 fibrillation fibrillation NN cord-017142-vx3rgs4r 116 12 , , , cord-017142-vx3rgs4r 116 13 poor poor JJ cord-017142-vx3rgs4r 116 14 left leave VBD cord-017142-vx3rgs4r 116 15 ventricular ventricular JJ cord-017142-vx3rgs4r 116 16 diastolic diastolic JJ cord-017142-vx3rgs4r 116 17 function function NN cord-017142-vx3rgs4r 116 18 ( ( -LRB- cord-017142-vx3rgs4r 116 19 grade grade NN cord-017142-vx3rgs4r 116 20 3 3 CD cord-017142-vx3rgs4r 116 21 or or CC cord-017142-vx3rgs4r 116 22 4 4 CD cord-017142-vx3rgs4r 116 23 ) ) -RRB- cord-017142-vx3rgs4r 116 24 , , , cord-017142-vx3rgs4r 116 25 lower low JJR cord-017142-vx3rgs4r 116 26 left left JJ cord-017142-vx3rgs4r 116 27 atrial atrial JJ cord-017142-vx3rgs4r 116 28 appendage appendage NN cord-017142-vx3rgs4r 116 29 emptying empty VBG cord-017142-vx3rgs4r 116 30 velocity velocity NN cord-017142-vx3rgs4r 116 31 ( ( -LRB- cord-017142-vx3rgs4r 116 32 15 15 CD cord-017142-vx3rgs4r 116 33 cm cm NNS cord-017142-vx3rgs4r 116 34 / / SYM cord-017142-vx3rgs4r 116 35 s s NN cord-017142-vx3rgs4r 116 36 ) ) -RRB- cord-017142-vx3rgs4r 116 37 , , , cord-017142-vx3rgs4r 116 38 increased increase VBD cord-017142-vx3rgs4r 116 39 RV rv NN cord-017142-vx3rgs4r 116 40 wall wall NN cord-017142-vx3rgs4r 116 41 thickness thickness NN cord-017142-vx3rgs4r 116 42 , , , cord-017142-vx3rgs4r 116 43 low low JJ cord-017142-vx3rgs4r 116 44 systolic systolic JJ cord-017142-vx3rgs4r 116 45 blood blood NN cord-017142-vx3rgs4r 116 46 pressure pressure NN cord-017142-vx3rgs4r 116 47 , , , cord-017142-vx3rgs4r 116 48 and and CC cord-017142-vx3rgs4r 116 49 increased increase VBN cord-017142-vx3rgs4r 116 50 heart heart NN cord-017142-vx3rgs4r 116 51 rate rate NN cord-017142-vx3rgs4r 116 52 . . . cord-017142-vx3rgs4r 117 1 This this DT cord-017142-vx3rgs4r 117 2 group group NN cord-017142-vx3rgs4r 117 3 of of IN cord-017142-vx3rgs4r 117 4 patients patient NNS cord-017142-vx3rgs4r 117 5 should should MD cord-017142-vx3rgs4r 117 6 be be VB cord-017142-vx3rgs4r 117 7 considered consider VBN cord-017142-vx3rgs4r 117 8 high high JJ cord-017142-vx3rgs4r 117 9 risk risk NN cord-017142-vx3rgs4r 117 10 for for IN cord-017142-vx3rgs4r 117 11 thromboembolic thromboembolic JJ cord-017142-vx3rgs4r 117 12 events event NNS cord-017142-vx3rgs4r 117 13 and and CC cord-017142-vx3rgs4r 117 14 merits merit NNS cord-017142-vx3rgs4r 117 15 screening screening NN cord-017142-vx3rgs4r 117 16 with with IN cord-017142-vx3rgs4r 117 17 TEE tee NN cord-017142-vx3rgs4r 117 18 . . . cord-017142-vx3rgs4r 118 1 Anticoagulation anticoagulation NN cord-017142-vx3rgs4r 118 2 should should MD cord-017142-vx3rgs4r 118 3 be be VB cord-017142-vx3rgs4r 118 4 strongly strongly RB cord-017142-vx3rgs4r 118 5 considered consider VBN cord-017142-vx3rgs4r 118 6 in in IN cord-017142-vx3rgs4r 118 7 the the DT cord-017142-vx3rgs4r 118 8 presence presence NN cord-017142-vx3rgs4r 118 9 of of IN cord-017142-vx3rgs4r 118 10 any any DT cord-017142-vx3rgs4r 118 11 of of IN cord-017142-vx3rgs4r 118 12 these these DT cord-017142-vx3rgs4r 118 13 risk risk NN cord-017142-vx3rgs4r 118 14 factors factor NNS cord-017142-vx3rgs4r 118 15 due due JJ cord-017142-vx3rgs4r 118 16 to to IN cord-017142-vx3rgs4r 118 17 the the DT cord-017142-vx3rgs4r 118 18 heightened heightened JJ cord-017142-vx3rgs4r 118 19 risk risk NN cord-017142-vx3rgs4r 118 20 for for IN cord-017142-vx3rgs4r 118 21 mural mural JJ cord-017142-vx3rgs4r 118 22 thrombus thrombus NN cord-017142-vx3rgs4r 118 23 development development NN cord-017142-vx3rgs4r 118 24 and and CC cord-017142-vx3rgs4r 118 25 embolic embolic JJ cord-017142-vx3rgs4r 118 26 events event NNS cord-017142-vx3rgs4r 118 27 . . . cord-017142-vx3rgs4r 119 1 This this DT cord-017142-vx3rgs4r 119 2 should should MD cord-017142-vx3rgs4r 119 3 be be VB cord-017142-vx3rgs4r 119 4 weighed weigh VBN cord-017142-vx3rgs4r 119 5 against against IN cord-017142-vx3rgs4r 119 6 the the DT cord-017142-vx3rgs4r 119 7 risk risk NN cord-017142-vx3rgs4r 119 8 of of IN cord-017142-vx3rgs4r 119 9 bleeding bleed VBG cord-017142-vx3rgs4r 119 10 in in IN cord-017142-vx3rgs4r 119 11 these these DT cord-017142-vx3rgs4r 119 12 patients patient NNS cord-017142-vx3rgs4r 119 13 due due JJ cord-017142-vx3rgs4r 119 14 to to IN cord-017142-vx3rgs4r 119 15 the the DT cord-017142-vx3rgs4r 119 16 potential potential NN cord-017142-vx3rgs4r 119 17 for for IN cord-017142-vx3rgs4r 119 18 concomitant concomitant JJ cord-017142-vx3rgs4r 119 19 coagulopathy coagulopathy NN cord-017142-vx3rgs4r 119 20 and and CC cord-017142-vx3rgs4r 119 21 fragile fragile JJ cord-017142-vx3rgs4r 119 22 vasculature vasculature NN cord-017142-vx3rgs4r 119 23 [ [ -LRB- cord-017142-vx3rgs4r 119 24 36 36 CD cord-017142-vx3rgs4r 119 25 ] ] -RRB- cord-017142-vx3rgs4r 119 26 . . . cord-017142-vx3rgs4r 120 1 Pacemakers pacemaker NNS cord-017142-vx3rgs4r 120 2 are be VBP cord-017142-vx3rgs4r 120 3 a a DT cord-017142-vx3rgs4r 120 4 consideration consideration NN cord-017142-vx3rgs4r 120 5 in in IN cord-017142-vx3rgs4r 120 6 the the DT cord-017142-vx3rgs4r 120 7 presence presence NN cord-017142-vx3rgs4r 120 8 of of IN cord-017142-vx3rgs4r 120 9 heart heart NN cord-017142-vx3rgs4r 120 10 block block NN cord-017142-vx3rgs4r 120 11 or or CC cord-017142-vx3rgs4r 120 12 symptomatic symptomatic JJ cord-017142-vx3rgs4r 120 13 bradycardia bradycardia NN cord-017142-vx3rgs4r 120 14 . . . cord-017142-vx3rgs4r 121 1 The the DT cord-017142-vx3rgs4r 121 2 role role NN cord-017142-vx3rgs4r 121 3 of of IN cord-017142-vx3rgs4r 121 4 intracardiac intracardiac NNP cord-017142-vx3rgs4r 121 5 defibrillators defibrillator NNS cord-017142-vx3rgs4r 121 6 is be VBZ cord-017142-vx3rgs4r 121 7 controversial controversial JJ cord-017142-vx3rgs4r 121 8 due due IN cord-017142-vx3rgs4r 121 9 to to IN cord-017142-vx3rgs4r 121 10 limited limited JJ cord-017142-vx3rgs4r 121 11 evidence evidence NN cord-017142-vx3rgs4r 121 12 showing show VBG cord-017142-vx3rgs4r 121 13 a a DT cord-017142-vx3rgs4r 121 14 survival survival NN cord-017142-vx3rgs4r 121 15 benefit benefit NN cord-017142-vx3rgs4r 121 16 both both DT cord-017142-vx3rgs4r 121 17 for for IN cord-017142-vx3rgs4r 121 18 primary primary JJ cord-017142-vx3rgs4r 121 19 and and CC cord-017142-vx3rgs4r 121 20 secondary secondary JJ cord-017142-vx3rgs4r 121 21 prevention prevention NN cord-017142-vx3rgs4r 121 22 . . . cord-017142-vx3rgs4r 122 1 Several several JJ cord-017142-vx3rgs4r 122 2 studies study NNS cord-017142-vx3rgs4r 122 3 report report VBP cord-017142-vx3rgs4r 122 4 ventricular ventricular JJ cord-017142-vx3rgs4r 122 5 arrhythmias arrhythmias RB cord-017142-vx3rgs4r 122 6 in in IN cord-017142-vx3rgs4r 122 7 about about RB cord-017142-vx3rgs4r 122 8 a a DT cord-017142-vx3rgs4r 122 9 third third NN cord-017142-vx3rgs4r 122 10 of of IN cord-017142-vx3rgs4r 122 11 patients patient NNS cord-017142-vx3rgs4r 122 12 ; ; : cord-017142-vx3rgs4r 122 13 however however RB cord-017142-vx3rgs4r 122 14 , , , cord-017142-vx3rgs4r 122 15 this this DT cord-017142-vx3rgs4r 122 16 does do VBZ cord-017142-vx3rgs4r 122 17 not not RB cord-017142-vx3rgs4r 122 18 appear appear VB cord-017142-vx3rgs4r 122 19 to to TO cord-017142-vx3rgs4r 122 20 be be VB cord-017142-vx3rgs4r 122 21 the the DT cord-017142-vx3rgs4r 122 22 leading leading JJ cord-017142-vx3rgs4r 122 23 cause cause NN cord-017142-vx3rgs4r 122 24 of of IN cord-017142-vx3rgs4r 122 25 mortality mortality NN cord-017142-vx3rgs4r 122 26 in in IN cord-017142-vx3rgs4r 122 27 this this DT cord-017142-vx3rgs4r 122 28 patient patient NN cord-017142-vx3rgs4r 122 29 group group NN cord-017142-vx3rgs4r 122 30 . . . cord-017142-vx3rgs4r 123 1 Once once IN cord-017142-vx3rgs4r 123 2 congestive congestive JJ cord-017142-vx3rgs4r 123 3 heart heart NN cord-017142-vx3rgs4r 123 4 failure failure NN cord-017142-vx3rgs4r 123 5 occurs occur VBZ cord-017142-vx3rgs4r 123 6 , , , cord-017142-vx3rgs4r 123 7 the the DT cord-017142-vx3rgs4r 123 8 clinical clinical JJ cord-017142-vx3rgs4r 123 9 course course NN cord-017142-vx3rgs4r 123 10 for for IN cord-017142-vx3rgs4r 123 11 patients patient NNS cord-017142-vx3rgs4r 123 12 rapidly rapidly RB cord-017142-vx3rgs4r 123 13 deteriorates deteriorate VBZ cord-017142-vx3rgs4r 123 14 , , , cord-017142-vx3rgs4r 123 15 with with IN cord-017142-vx3rgs4r 123 16 a a DT cord-017142-vx3rgs4r 123 17 median median JJ cord-017142-vx3rgs4r 123 18 survival survival NN cord-017142-vx3rgs4r 123 19 of of IN cord-017142-vx3rgs4r 123 20 6 6 CD cord-017142-vx3rgs4r 123 21 - - SYM cord-017142-vx3rgs4r 123 22 12 12 CD cord-017142-vx3rgs4r 123 23 months month NNS cord-017142-vx3rgs4r 123 24 from from IN cord-017142-vx3rgs4r 123 25 diagnosis diagnosis NN cord-017142-vx3rgs4r 123 26 . . . cord-017142-vx3rgs4r 124 1 Death death NN cord-017142-vx3rgs4r 124 2 in in IN cord-017142-vx3rgs4r 124 3 severe severe JJ cord-017142-vx3rgs4r 124 4 cardiac cardiac JJ cord-017142-vx3rgs4r 124 5 amyloid amyloid NN cord-017142-vx3rgs4r 124 6 is be VBZ cord-017142-vx3rgs4r 124 7 often often RB cord-017142-vx3rgs4r 124 8 heralded herald VBN cord-017142-vx3rgs4r 124 9 by by IN cord-017142-vx3rgs4r 124 10 agonal agonal JJ cord-017142-vx3rgs4r 124 11 bradycardia bradycardia NN cord-017142-vx3rgs4r 124 12 , , , cord-017142-vx3rgs4r 124 13 followed follow VBN cord-017142-vx3rgs4r 124 14 by by IN cord-017142-vx3rgs4r 124 15 electromechanical electromechanical JJ cord-017142-vx3rgs4r 124 16 dissociation dissociation NN cord-017142-vx3rgs4r 124 17 or or CC cord-017142-vx3rgs4r 124 18 PEA pea NN cord-017142-vx3rgs4r 124 19 . . . cord-017142-vx3rgs4r 125 1 Nonetheless nonetheless RB cord-017142-vx3rgs4r 125 2 consensus consensus NN cord-017142-vx3rgs4r 125 3 guidelines guideline NNS cord-017142-vx3rgs4r 125 4 do do VBP cord-017142-vx3rgs4r 125 5 not not RB cord-017142-vx3rgs4r 125 6 support support VB cord-017142-vx3rgs4r 125 7 ICD icd NN cord-017142-vx3rgs4r 125 8 placement placement NN cord-017142-vx3rgs4r 125 9 for for IN cord-017142-vx3rgs4r 125 10 primary primary JJ cord-017142-vx3rgs4r 125 11 prevention prevention NN cord-017142-vx3rgs4r 125 12 of of IN cord-017142-vx3rgs4r 125 13 SCD SCD NNP cord-017142-vx3rgs4r 125 14 in in IN cord-017142-vx3rgs4r 125 15 patients patient NNS cord-017142-vx3rgs4r 125 16 if if IN cord-017142-vx3rgs4r 125 17 life life NN cord-017142-vx3rgs4r 125 18 expectancy expectancy NN cord-017142-vx3rgs4r 125 19 is be VBZ cord-017142-vx3rgs4r 125 20 < < NNP cord-017142-vx3rgs4r 125 21 1 1 CD cord-017142-vx3rgs4r 125 22 year year NN cord-017142-vx3rgs4r 125 23 . . . cord-017142-vx3rgs4r 126 1 Hence hence RB cord-017142-vx3rgs4r 126 2 these these DT cord-017142-vx3rgs4r 126 3 devices device NNS cord-017142-vx3rgs4r 126 4 have have VBP cord-017142-vx3rgs4r 126 5 rarely rarely RB cord-017142-vx3rgs4r 126 6 been be VBN cord-017142-vx3rgs4r 126 7 used use VBN cord-017142-vx3rgs4r 126 8 in in IN cord-017142-vx3rgs4r 126 9 patients patient NNS cord-017142-vx3rgs4r 126 10 with with IN cord-017142-vx3rgs4r 126 11 cardiac cardiac JJ cord-017142-vx3rgs4r 126 12 AL AL NNP cord-017142-vx3rgs4r 126 13 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 126 14 . . . cord-017142-vx3rgs4r 127 1 With with IN cord-017142-vx3rgs4r 127 2 improvement improvement NN cord-017142-vx3rgs4r 127 3 in in IN cord-017142-vx3rgs4r 127 4 the the DT cord-017142-vx3rgs4r 127 5 therapeutic therapeutic JJ cord-017142-vx3rgs4r 127 6 platform platform NN cord-017142-vx3rgs4r 127 7 of of IN cord-017142-vx3rgs4r 127 8 cardiac cardiac JJ cord-017142-vx3rgs4r 127 9 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 127 10 and and CC cord-017142-vx3rgs4r 127 11 improved improved JJ cord-017142-vx3rgs4r 127 12 survival survival NN cord-017142-vx3rgs4r 127 13 , , , cord-017142-vx3rgs4r 127 14 it -PRON- PRP cord-017142-vx3rgs4r 127 15 becomes become VBZ cord-017142-vx3rgs4r 127 16 a a DT cord-017142-vx3rgs4r 127 17 priority priority NN cord-017142-vx3rgs4r 127 18 to to TO cord-017142-vx3rgs4r 127 19 be be VB cord-017142-vx3rgs4r 127 20 able able JJ cord-017142-vx3rgs4r 127 21 to to TO cord-017142-vx3rgs4r 127 22 select select VB cord-017142-vx3rgs4r 127 23 the the DT cord-017142-vx3rgs4r 127 24 patients patient NNS cord-017142-vx3rgs4r 127 25 that that WDT cord-017142-vx3rgs4r 127 26 benefit benefit VBP cord-017142-vx3rgs4r 127 27 from from IN cord-017142-vx3rgs4r 127 28 antiarrhythmic antiarrhythmic JJ cord-017142-vx3rgs4r 127 29 prophylaxis prophylaxis NN cord-017142-vx3rgs4r 127 30 and and CC cord-017142-vx3rgs4r 127 31 primary primary JJ cord-017142-vx3rgs4r 127 32 prevention prevention NN cord-017142-vx3rgs4r 127 33 ICDs icd NNS cord-017142-vx3rgs4r 127 34 . . . cord-017142-vx3rgs4r 128 1 With with IN cord-017142-vx3rgs4r 128 2 the the DT cord-017142-vx3rgs4r 128 3 available available JJ cord-017142-vx3rgs4r 128 4 data datum NNS cord-017142-vx3rgs4r 128 5 , , , cord-017142-vx3rgs4r 128 6 ICDs ICDs NNP cord-017142-vx3rgs4r 128 7 should should MD cord-017142-vx3rgs4r 128 8 be be VB cord-017142-vx3rgs4r 128 9 considered consider VBN cord-017142-vx3rgs4r 128 10 in in IN cord-017142-vx3rgs4r 128 11 cardiac cardiac JJ cord-017142-vx3rgs4r 128 12 amyloid amyloid NN cord-017142-vx3rgs4r 128 13 patients patient NNS cord-017142-vx3rgs4r 128 14 with with IN cord-017142-vx3rgs4r 128 15 recurrent recurrent JJ cord-017142-vx3rgs4r 128 16 episodes episode NNS cord-017142-vx3rgs4r 128 17 of of IN cord-017142-vx3rgs4r 128 18 non non JJ cord-017142-vx3rgs4r 128 19 - - JJ cord-017142-vx3rgs4r 128 20 sustained sustained JJ cord-017142-vx3rgs4r 128 21 VT VT NNP cord-017142-vx3rgs4r 128 22 , , , cord-017142-vx3rgs4r 128 23 unexplained unexplained JJ cord-017142-vx3rgs4r 128 24 syncope syncope NN cord-017142-vx3rgs4r 128 25 , , , cord-017142-vx3rgs4r 128 26 young young JJ cord-017142-vx3rgs4r 128 27 age age NN cord-017142-vx3rgs4r 128 28 at at IN cord-017142-vx3rgs4r 128 29 diagnosis diagnosis NN cord-017142-vx3rgs4r 128 30 , , , cord-017142-vx3rgs4r 128 31 early early JJ cord-017142-vx3rgs4r 128 32 stages stage NNS cord-017142-vx3rgs4r 128 33 of of IN cord-017142-vx3rgs4r 128 34 disease disease NN cord-017142-vx3rgs4r 128 35 at at IN cord-017142-vx3rgs4r 128 36 diagnosis diagnosis NN cord-017142-vx3rgs4r 128 37 with with IN cord-017142-vx3rgs4r 128 38 low low JJ cord-017142-vx3rgs4r 128 39 levels level NNS cord-017142-vx3rgs4r 128 40 of of IN cord-017142-vx3rgs4r 128 41 cardiac cardiac JJ cord-017142-vx3rgs4r 128 42 biomarkers biomarker NNS cord-017142-vx3rgs4r 128 43 , , , cord-017142-vx3rgs4r 128 44 and and CC cord-017142-vx3rgs4r 128 45 prognosis prognosis NN cord-017142-vx3rgs4r 129 1 > > XX cord-017142-vx3rgs4r 130 1 1 1 CD cord-017142-vx3rgs4r 130 2 year year NN cord-017142-vx3rgs4r 130 3 [ [ -LRB- cord-017142-vx3rgs4r 130 4 47 47 CD cord-017142-vx3rgs4r 130 5 , , , cord-017142-vx3rgs4r 130 6 48 48 CD cord-017142-vx3rgs4r 130 7 , , , cord-017142-vx3rgs4r 130 8 71 71 CD cord-017142-vx3rgs4r 130 9 , , , cord-017142-vx3rgs4r 130 10 127 127 CD cord-017142-vx3rgs4r 130 11 ] ] -RRB- cord-017142-vx3rgs4r 130 12 . . . cord-017142-vx3rgs4r 131 1 Anti anti JJ cord-017142-vx3rgs4r 131 2 - - JJ cord-017142-vx3rgs4r 131 3 myeloma myeloma JJ cord-017142-vx3rgs4r 131 4 drug drug NN cord-017142-vx3rgs4r 131 5 - - HYPH cord-017142-vx3rgs4r 131 6 related relate VBN cord-017142-vx3rgs4r 131 7 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 131 8 : : : cord-017142-vx3rgs4r 131 9 Proteasome Proteasome NNP cord-017142-vx3rgs4r 131 10 inhibitors inhibitor NNS cord-017142-vx3rgs4r 131 11 are be VBP cord-017142-vx3rgs4r 131 12 currently currently RB cord-017142-vx3rgs4r 131 13 the the DT cord-017142-vx3rgs4r 131 14 main main JJ cord-017142-vx3rgs4r 131 15 class class NN cord-017142-vx3rgs4r 131 16 of of IN cord-017142-vx3rgs4r 131 17 drugs drug NNS cord-017142-vx3rgs4r 131 18 used use VBN cord-017142-vx3rgs4r 131 19 in in IN cord-017142-vx3rgs4r 131 20 front front JJ cord-017142-vx3rgs4r 131 21 line line NN cord-017142-vx3rgs4r 131 22 and and CC cord-017142-vx3rgs4r 131 23 in in IN cord-017142-vx3rgs4r 131 24 the the DT cord-017142-vx3rgs4r 131 25 relapsed relapse VBN cord-017142-vx3rgs4r 131 26 setting setting NN cord-017142-vx3rgs4r 131 27 of of IN cord-017142-vx3rgs4r 131 28 MM MM NNP cord-017142-vx3rgs4r 131 29 . . . cord-017142-vx3rgs4r 132 1 FDA FDA NNP cord-017142-vx3rgs4r 132 2 - - HYPH cord-017142-vx3rgs4r 132 3 approved approve VBN cord-017142-vx3rgs4r 132 4 therapies therapy NNS cord-017142-vx3rgs4r 132 5 in in IN cord-017142-vx3rgs4r 132 6 this this DT cord-017142-vx3rgs4r 132 7 class class NN cord-017142-vx3rgs4r 132 8 include include VBP cord-017142-vx3rgs4r 132 9 bortezomib bortezomib NNP cord-017142-vx3rgs4r 132 10 , , , cord-017142-vx3rgs4r 132 11 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 132 12 , , , cord-017142-vx3rgs4r 132 13 and and CC cord-017142-vx3rgs4r 132 14 ixazomib ixazomib NNP cord-017142-vx3rgs4r 132 15 [ [ -LRB- cord-017142-vx3rgs4r 132 16 93 93 CD cord-017142-vx3rgs4r 132 17 ] ] -RRB- cord-017142-vx3rgs4r 132 18 . . . cord-017142-vx3rgs4r 133 1 Among among IN cord-017142-vx3rgs4r 133 2 them -PRON- PRP cord-017142-vx3rgs4r 133 3 , , , cord-017142-vx3rgs4r 133 4 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 133 5 has have VBZ cord-017142-vx3rgs4r 133 6 shown show VBN cord-017142-vx3rgs4r 133 7 the the DT cord-017142-vx3rgs4r 133 8 highest high JJS cord-017142-vx3rgs4r 133 9 rates rate NNS cord-017142-vx3rgs4r 133 10 of of IN cord-017142-vx3rgs4r 133 11 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 133 12 . . . cord-017142-vx3rgs4r 134 1 In in IN cord-017142-vx3rgs4r 134 2 a a DT cord-017142-vx3rgs4r 134 3 meta meta JJ cord-017142-vx3rgs4r 134 4 - - HYPH cord-017142-vx3rgs4r 134 5 analysis analysis NN cord-017142-vx3rgs4r 134 6 looking look VBG cord-017142-vx3rgs4r 134 7 at at IN cord-017142-vx3rgs4r 134 8 the the DT cord-017142-vx3rgs4r 134 9 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 134 10 of of IN cord-017142-vx3rgs4r 134 11 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 134 12 , , , cord-017142-vx3rgs4r 134 13 all all DT cord-017142-vx3rgs4r 134 14 - - HYPH cord-017142-vx3rgs4r 134 15 grade grade NN cord-017142-vx3rgs4r 134 16 and and CC cord-017142-vx3rgs4r 134 17 high high JJ cord-017142-vx3rgs4r 134 18 - - HYPH cord-017142-vx3rgs4r 134 19 grade grade NN cord-017142-vx3rgs4r 134 20 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 134 21 were be VBD cord-017142-vx3rgs4r 134 22 seen see VBN cord-017142-vx3rgs4r 134 23 in in IN cord-017142-vx3rgs4r 134 24 18 18 CD cord-017142-vx3rgs4r 134 25 % % NN cord-017142-vx3rgs4r 134 26 and and CC cord-017142-vx3rgs4r 134 27 8 8 CD cord-017142-vx3rgs4r 134 28 % % NN cord-017142-vx3rgs4r 134 29 of of IN cord-017142-vx3rgs4r 134 30 patients patient NNS cord-017142-vx3rgs4r 134 31 , , , cord-017142-vx3rgs4r 134 32 respectively respectively RB cord-017142-vx3rgs4r 134 33 , , , cord-017142-vx3rgs4r 134 34 higher high JJR cord-017142-vx3rgs4r 134 35 than than IN cord-017142-vx3rgs4r 134 36 the the DT cord-017142-vx3rgs4r 134 37 control control NN cord-017142-vx3rgs4r 134 38 arm arm NN cord-017142-vx3rgs4r 134 39 . . . cord-017142-vx3rgs4r 135 1 The the DT cord-017142-vx3rgs4r 135 2 most most RBS cord-017142-vx3rgs4r 135 3 significant significant JJ cord-017142-vx3rgs4r 135 4 events event NNS cord-017142-vx3rgs4r 135 5 included include VBD cord-017142-vx3rgs4r 135 6 heart heart NN cord-017142-vx3rgs4r 135 7 failure failure NN cord-017142-vx3rgs4r 135 8 ( ( -LRB- cord-017142-vx3rgs4r 135 9 5 5 CD cord-017142-vx3rgs4r 135 10 % % NN cord-017142-vx3rgs4r 135 11 ) ) -RRB- cord-017142-vx3rgs4r 135 12 , , , cord-017142-vx3rgs4r 135 13 arrhythmias arrhythmia NNS cord-017142-vx3rgs4r 135 14 ( ( -LRB- cord-017142-vx3rgs4r 135 15 2.5 2.5 CD cord-017142-vx3rgs4r 135 16 % % NN cord-017142-vx3rgs4r 135 17 ) ) -RRB- cord-017142-vx3rgs4r 135 18 , , , cord-017142-vx3rgs4r 135 19 and and CC cord-017142-vx3rgs4r 135 20 ischemic ischemic JJ cord-017142-vx3rgs4r 135 21 events event NNS cord-017142-vx3rgs4r 135 22 ( ( -LRB- cord-017142-vx3rgs4r 135 23 2 2 CD cord-017142-vx3rgs4r 135 24 % % NN cord-017142-vx3rgs4r 135 25 ) ) -RRB- cord-017142-vx3rgs4r 135 26 . . . cord-017142-vx3rgs4r 136 1 Rare rare JJ cord-017142-vx3rgs4r 136 2 reports report NNS cord-017142-vx3rgs4r 136 3 of of IN cord-017142-vx3rgs4r 136 4 carfilzomibassociated carfilzomibassociate VBN cord-017142-vx3rgs4r 136 5 cardiac cardiac JJ cord-017142-vx3rgs4r 136 6 arrests arrest NNS cord-017142-vx3rgs4r 136 7 also also RB cord-017142-vx3rgs4r 136 8 exist exist VBP cord-017142-vx3rgs4r 136 9 . . . cord-017142-vx3rgs4r 137 1 Risk risk NN cord-017142-vx3rgs4r 137 2 can can MD cord-017142-vx3rgs4r 137 3 be be VB cord-017142-vx3rgs4r 137 4 higher high JJR cord-017142-vx3rgs4r 137 5 in in IN cord-017142-vx3rgs4r 137 6 patients patient NNS cord-017142-vx3rgs4r 137 7 with with IN cord-017142-vx3rgs4r 137 8 comorbidities comorbiditie NNS cord-017142-vx3rgs4r 137 9 such such JJ cord-017142-vx3rgs4r 137 10 as as IN cord-017142-vx3rgs4r 137 11 older old JJR cord-017142-vx3rgs4r 137 12 age age NN cord-017142-vx3rgs4r 137 13 , , , cord-017142-vx3rgs4r 137 14 obesity obesity NN cord-017142-vx3rgs4r 137 15 , , , cord-017142-vx3rgs4r 137 16 anemia anemia NN cord-017142-vx3rgs4r 137 17 , , , cord-017142-vx3rgs4r 137 18 kidney kidney NN cord-017142-vx3rgs4r 137 19 dysfunction dysfunction NN cord-017142-vx3rgs4r 137 20 , , , cord-017142-vx3rgs4r 137 21 previous previous JJ cord-017142-vx3rgs4r 137 22 mediastinal mediastinal JJ cord-017142-vx3rgs4r 137 23 radiation radiation NN cord-017142-vx3rgs4r 137 24 , , , cord-017142-vx3rgs4r 137 25 high high JJ cord-017142-vx3rgs4r 137 26 - - HYPH cord-017142-vx3rgs4r 137 27 dose dose NN cord-017142-vx3rgs4r 137 28 corticosteroids corticosteroid NNS cord-017142-vx3rgs4r 137 29 , , , cord-017142-vx3rgs4r 137 30 prior prior JJ cord-017142-vx3rgs4r 137 31 or or CC cord-017142-vx3rgs4r 137 32 concurrent concurrent JJ cord-017142-vx3rgs4r 137 33 anthracycline anthracycline JJ cord-017142-vx3rgs4r 137 34 exposure exposure NN cord-017142-vx3rgs4r 137 35 , , , cord-017142-vx3rgs4r 137 36 use use NN cord-017142-vx3rgs4r 137 37 of of IN cord-017142-vx3rgs4r 137 38 higher high JJR cord-017142-vx3rgs4r 137 39 carfilzomib carfilzomib JJ cord-017142-vx3rgs4r 137 40 doses dose NNS cord-017142-vx3rgs4r 137 41 , , , cord-017142-vx3rgs4r 137 42 short short JJ cord-017142-vx3rgs4r 137 43 infusion infusion NN cord-017142-vx3rgs4r 137 44 times time NNS cord-017142-vx3rgs4r 137 45 , , , cord-017142-vx3rgs4r 137 46 and and CC cord-017142-vx3rgs4r 137 47 undiagnosed undiagnosed JJ cord-017142-vx3rgs4r 137 48 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 137 49 [ [ -LRB- cord-017142-vx3rgs4r 137 50 5 5 CD cord-017142-vx3rgs4r 137 51 , , , cord-017142-vx3rgs4r 137 52 52 52 CD cord-017142-vx3rgs4r 137 53 , , , cord-017142-vx3rgs4r 137 54 92 92 CD cord-017142-vx3rgs4r 137 55 , , , cord-017142-vx3rgs4r 137 56 133 133 CD cord-017142-vx3rgs4r 137 57 , , , cord-017142-vx3rgs4r 137 58 135 135 CD cord-017142-vx3rgs4r 137 59 ] ] -RRB- cord-017142-vx3rgs4r 137 60 . . . cord-017142-vx3rgs4r 138 1 Anecdotal anecdotal JJ cord-017142-vx3rgs4r 138 2 reports report NNS cord-017142-vx3rgs4r 138 3 suggest suggest VBP cord-017142-vx3rgs4r 138 4 bortezomib bortezomib NNP cord-017142-vx3rgs4r 138 5 may may MD cord-017142-vx3rgs4r 138 6 lead lead VB cord-017142-vx3rgs4r 138 7 to to IN cord-017142-vx3rgs4r 138 8 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 138 9 as as RB cord-017142-vx3rgs4r 138 10 well well RB cord-017142-vx3rgs4r 138 11 , , , cord-017142-vx3rgs4r 138 12 although although IN cord-017142-vx3rgs4r 138 13 a a DT cord-017142-vx3rgs4r 138 14 recent recent JJ cord-017142-vx3rgs4r 138 15 meta meta NNP cord-017142-vx3rgs4r 138 16 - - HYPH cord-017142-vx3rgs4r 138 17 analysis analysis NN cord-017142-vx3rgs4r 138 18 did do VBD cord-017142-vx3rgs4r 138 19 not not RB cord-017142-vx3rgs4r 138 20 find find VB cord-017142-vx3rgs4r 138 21 a a DT cord-017142-vx3rgs4r 138 22 significantly significantly RB cord-017142-vx3rgs4r 138 23 increased increase VBN cord-017142-vx3rgs4r 138 24 risk risk NN cord-017142-vx3rgs4r 138 25 compared compare VBN cord-017142-vx3rgs4r 138 26 to to IN cord-017142-vx3rgs4r 138 27 the the DT cord-017142-vx3rgs4r 138 28 control control NN cord-017142-vx3rgs4r 138 29 arm arm NN cord-017142-vx3rgs4r 138 30 [ [ -LRB- cord-017142-vx3rgs4r 138 31 128 128 CD cord-017142-vx3rgs4r 138 32 , , , cord-017142-vx3rgs4r 138 33 136 136 CD cord-017142-vx3rgs4r 138 34 ] ] -RRB- cord-017142-vx3rgs4r 138 35 . . . cord-017142-vx3rgs4r 139 1 The the DT cord-017142-vx3rgs4r 139 2 first first JJ cord-017142-vx3rgs4r 139 3 intervention intervention NN cord-017142-vx3rgs4r 139 4 in in IN cord-017142-vx3rgs4r 139 5 suspected suspect VBN cord-017142-vx3rgs4r 139 6 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 139 7 is be VBZ cord-017142-vx3rgs4r 139 8 to to TO cord-017142-vx3rgs4r 139 9 hold hold VB cord-017142-vx3rgs4r 139 10 further further JJ cord-017142-vx3rgs4r 139 11 therapy therapy NN cord-017142-vx3rgs4r 139 12 and and CC cord-017142-vx3rgs4r 139 13 follow follow VB cord-017142-vx3rgs4r 139 14 expectant expectant JJ cord-017142-vx3rgs4r 139 15 management management NN cord-017142-vx3rgs4r 139 16 . . . cord-017142-vx3rgs4r 140 1 In in IN cord-017142-vx3rgs4r 140 2 cases case NNS cord-017142-vx3rgs4r 140 3 of of IN cord-017142-vx3rgs4r 140 4 congestive congestive JJ cord-017142-vx3rgs4r 140 5 heart heart NN cord-017142-vx3rgs4r 140 6 failure failure NN cord-017142-vx3rgs4r 140 7 , , , cord-017142-vx3rgs4r 140 8 once once IN cord-017142-vx3rgs4r 140 9 the the DT cord-017142-vx3rgs4r 140 10 heart heart NN cord-017142-vx3rgs4r 140 11 failure failure NN cord-017142-vx3rgs4r 140 12 symptoms symptom NNS cord-017142-vx3rgs4r 140 13 improve improve VBP cord-017142-vx3rgs4r 140 14 , , , cord-017142-vx3rgs4r 140 15 it -PRON- PRP cord-017142-vx3rgs4r 140 16 is be VBZ cord-017142-vx3rgs4r 140 17 reasonable reasonable JJ cord-017142-vx3rgs4r 140 18 to to TO cord-017142-vx3rgs4r 140 19 restart restart VB cord-017142-vx3rgs4r 140 20 the the DT cord-017142-vx3rgs4r 140 21 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 140 22 at at IN cord-017142-vx3rgs4r 140 23 a a DT cord-017142-vx3rgs4r 140 24 lower low JJR cord-017142-vx3rgs4r 140 25 dose dose NN cord-017142-vx3rgs4r 140 26 , , , cord-017142-vx3rgs4r 140 27 with with IN cord-017142-vx3rgs4r 140 28 a a DT cord-017142-vx3rgs4r 140 29 longer long JJR cord-017142-vx3rgs4r 140 30 infusion infusion NN cord-017142-vx3rgs4r 140 31 time time NN cord-017142-vx3rgs4r 140 32 and and CC cord-017142-vx3rgs4r 140 33 limiting limit VBG cord-017142-vx3rgs4r 140 34 peri peri NN cord-017142-vx3rgs4r 140 35 - - HYPH cord-017142-vx3rgs4r 140 36 treatment treatment NN cord-017142-vx3rgs4r 140 37 IV IV NNP cord-017142-vx3rgs4r 140 38 fluids fluid NNS cord-017142-vx3rgs4r 140 39 . . . cord-017142-vx3rgs4r 141 1 Arrhythmic arrhythmic JJ cord-017142-vx3rgs4r 141 2 events event NNS cord-017142-vx3rgs4r 141 3 would would MD cord-017142-vx3rgs4r 141 4 require require VB cord-017142-vx3rgs4r 141 5 careful careful JJ cord-017142-vx3rgs4r 141 6 consideration consideration NN cord-017142-vx3rgs4r 141 7 regarding regard VBG cord-017142-vx3rgs4r 141 8 rechallenging rechallenge VBG cord-017142-vx3rgs4r 141 9 patients patient NNS cord-017142-vx3rgs4r 141 10 after after IN cord-017142-vx3rgs4r 141 11 considering consider VBG cord-017142-vx3rgs4r 141 12 the the DT cord-017142-vx3rgs4r 141 13 risk risk NN cord-017142-vx3rgs4r 141 14 - - HYPH cord-017142-vx3rgs4r 141 15 benefit benefit NN cord-017142-vx3rgs4r 141 16 ratio ratio NN cord-017142-vx3rgs4r 141 17 . . . cord-017142-vx3rgs4r 142 1 Hyperviscosity Hyperviscosity NNP cord-017142-vx3rgs4r 142 2 syndrome syndrome NN cord-017142-vx3rgs4r 142 3 : : : cord-017142-vx3rgs4r 142 4 In in IN cord-017142-vx3rgs4r 142 5 a a DT cord-017142-vx3rgs4r 142 6 patient patient NN cord-017142-vx3rgs4r 142 7 undergoing undergo VBG cord-017142-vx3rgs4r 142 8 work work NN cord-017142-vx3rgs4r 142 9 - - HYPH cord-017142-vx3rgs4r 142 10 up up NN cord-017142-vx3rgs4r 142 11 for for IN cord-017142-vx3rgs4r 142 12 MM MM NNP cord-017142-vx3rgs4r 142 13 or or CC cord-017142-vx3rgs4r 142 14 with with IN cord-017142-vx3rgs4r 142 15 an an DT cord-017142-vx3rgs4r 142 16 established establish VBN cord-017142-vx3rgs4r 142 17 diagnosis diagnosis NN cord-017142-vx3rgs4r 142 18 , , , cord-017142-vx3rgs4r 142 19 symptoms symptom NNS cord-017142-vx3rgs4r 142 20 of of IN cord-017142-vx3rgs4r 142 21 headache headache NN cord-017142-vx3rgs4r 142 22 , , , cord-017142-vx3rgs4r 142 23 nose nose NN cord-017142-vx3rgs4r 142 24 bleeds bleed VBZ cord-017142-vx3rgs4r 142 25 , , , cord-017142-vx3rgs4r 142 26 mental mental JJ cord-017142-vx3rgs4r 142 27 status status NN cord-017142-vx3rgs4r 142 28 or or CC cord-017142-vx3rgs4r 142 29 visual visual JJ cord-017142-vx3rgs4r 142 30 changes change NNS cord-017142-vx3rgs4r 142 31 , , , cord-017142-vx3rgs4r 142 32 auditory auditory JJ cord-017142-vx3rgs4r 142 33 symptoms symptom NNS cord-017142-vx3rgs4r 142 34 , , , cord-017142-vx3rgs4r 142 35 focal focal JJ cord-017142-vx3rgs4r 142 36 weakness weakness NN cord-017142-vx3rgs4r 142 37 , , , cord-017142-vx3rgs4r 142 38 excessive excessive JJ cord-017142-vx3rgs4r 142 39 lethargy lethargy NN cord-017142-vx3rgs4r 142 40 , , , cord-017142-vx3rgs4r 142 41 seizures seizure NNS cord-017142-vx3rgs4r 142 42 , , , cord-017142-vx3rgs4r 142 43 or or CC cord-017142-vx3rgs4r 142 44 coma coma NN cord-017142-vx3rgs4r 142 45 should should MD cord-017142-vx3rgs4r 142 46 raise raise VB cord-017142-vx3rgs4r 142 47 suspicion suspicion NN cord-017142-vx3rgs4r 142 48 for for IN cord-017142-vx3rgs4r 142 49 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 142 50 syndrome syndrome NN cord-017142-vx3rgs4r 142 51 . . . cord-017142-vx3rgs4r 143 1 Though though IN cord-017142-vx3rgs4r 143 2 extremely extremely RB cord-017142-vx3rgs4r 143 3 uncommon uncommon JJ cord-017142-vx3rgs4r 143 4 in in IN cord-017142-vx3rgs4r 143 5 MM MM NNP cord-017142-vx3rgs4r 143 6 ( ( -LRB- cord-017142-vx3rgs4r 143 7 5 5 CD cord-017142-vx3rgs4r 143 8 % % NN cord-017142-vx3rgs4r 143 9 ) ) -RRB- cord-017142-vx3rgs4r 143 10 in in IN cord-017142-vx3rgs4r 143 11 comparison comparison NN cord-017142-vx3rgs4r 143 12 to to IN cord-017142-vx3rgs4r 143 13 Waldenström Waldenström NNP cord-017142-vx3rgs4r 143 14 's 's POS cord-017142-vx3rgs4r 143 15 macroglobulinemia macroglobulinemia NN cord-017142-vx3rgs4r 143 16 ( ( -LRB- cord-017142-vx3rgs4r 143 17 10 10 CD cord-017142-vx3rgs4r 143 18 - - SYM cord-017142-vx3rgs4r 143 19 30 30 CD cord-017142-vx3rgs4r 143 20 % % NN cord-017142-vx3rgs4r 143 21 ) ) -RRB- cord-017142-vx3rgs4r 143 22 , , , cord-017142-vx3rgs4r 143 23 a a DT cord-017142-vx3rgs4r 143 24 low low JJ cord-017142-vx3rgs4r 143 25 threshold threshold NN cord-017142-vx3rgs4r 143 26 should should MD cord-017142-vx3rgs4r 143 27 be be VB cord-017142-vx3rgs4r 143 28 kept keep VBN cord-017142-vx3rgs4r 143 29 to to TO cord-017142-vx3rgs4r 143 30 work work VB cord-017142-vx3rgs4r 143 31 up up RP cord-017142-vx3rgs4r 143 32 a a DT cord-017142-vx3rgs4r 143 33 patient patient NN cord-017142-vx3rgs4r 143 34 for for IN cord-017142-vx3rgs4r 143 35 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 143 36 as as IN cord-017142-vx3rgs4r 143 37 this this DT cord-017142-vx3rgs4r 143 38 can can MD cord-017142-vx3rgs4r 143 39 be be VB cord-017142-vx3rgs4r 143 40 fatal fatal JJ cord-017142-vx3rgs4r 143 41 if if IN cord-017142-vx3rgs4r 143 42 not not RB cord-017142-vx3rgs4r 143 43 recognized recognize VBN cord-017142-vx3rgs4r 143 44 early early RB cord-017142-vx3rgs4r 143 45 . . . cord-017142-vx3rgs4r 144 1 The the DT cord-017142-vx3rgs4r 144 2 viscosity viscosity NN cord-017142-vx3rgs4r 144 3 tends tend VBZ cord-017142-vx3rgs4r 144 4 to to TO cord-017142-vx3rgs4r 144 5 increase increase VB cord-017142-vx3rgs4r 144 6 with with IN cord-017142-vx3rgs4r 144 7 increase increase NN cord-017142-vx3rgs4r 144 8 in in IN cord-017142-vx3rgs4r 144 9 molecular molecular JJ cord-017142-vx3rgs4r 144 10 size size NN cord-017142-vx3rgs4r 144 11 , , , cord-017142-vx3rgs4r 144 12 shape shape NN cord-017142-vx3rgs4r 144 13 , , , cord-017142-vx3rgs4r 144 14 and and CC cord-017142-vx3rgs4r 144 15 weight weight NN cord-017142-vx3rgs4r 144 16 of of IN cord-017142-vx3rgs4r 144 17 the the DT cord-017142-vx3rgs4r 144 18 involved involve VBN cord-017142-vx3rgs4r 144 19 paraprotein paraprotein NNP cord-017142-vx3rgs4r 144 20 and and CC cord-017142-vx3rgs4r 144 21 abnormal abnormal JJ cord-017142-vx3rgs4r 144 22 polymerization polymerization NN cord-017142-vx3rgs4r 144 23 . . . cord-017142-vx3rgs4r 145 1 Patients patient NNS cord-017142-vx3rgs4r 145 2 tend tend VBP cord-017142-vx3rgs4r 145 3 to to TO cord-017142-vx3rgs4r 145 4 develop develop VB cord-017142-vx3rgs4r 145 5 symptoms symptom NNS cord-017142-vx3rgs4r 145 6 when when WRB cord-017142-vx3rgs4r 145 7 the the DT cord-017142-vx3rgs4r 145 8 serum serum NN cord-017142-vx3rgs4r 145 9 viscosity viscosity NN cord-017142-vx3rgs4r 145 10 reaches reach VBZ cord-017142-vx3rgs4r 145 11 4 4 CD cord-017142-vx3rgs4r 145 12 centi centi NNP cord-017142-vx3rgs4r 145 13 - - HYPH cord-017142-vx3rgs4r 145 14 Poise Poise NNP cord-017142-vx3rgs4r 145 15 ( ( -LRB- cord-017142-vx3rgs4r 145 16 cp cp NN cord-017142-vx3rgs4r 145 17 ) ) -RRB- cord-017142-vx3rgs4r 145 18 ( ( -LRB- cord-017142-vx3rgs4r 145 19 normal normal JJ cord-017142-vx3rgs4r 145 20 serum serum NN cord-017142-vx3rgs4r 145 21 viscosity viscosity NN cord-017142-vx3rgs4r 145 22 , , , cord-017142-vx3rgs4r 145 23 1.4 1.4 CD cord-017142-vx3rgs4r 145 24 - - SYM cord-017142-vx3rgs4r 145 25 1.8 1.8 CD cord-017142-vx3rgs4r 145 26 cp cp NN cord-017142-vx3rgs4r 145 27 ) ) -RRB- cord-017142-vx3rgs4r 145 28 . . . cord-017142-vx3rgs4r 146 1 This this DT cord-017142-vx3rgs4r 146 2 usually usually RB cord-017142-vx3rgs4r 146 3 corresponds correspond VBZ cord-017142-vx3rgs4r 146 4 to to IN cord-017142-vx3rgs4r 146 5 an an DT cord-017142-vx3rgs4r 146 6 M M NNP cord-017142-vx3rgs4r 146 7 spike spike NN cord-017142-vx3rgs4r 146 8 of of IN cord-017142-vx3rgs4r 146 9 3 3 CD cord-017142-vx3rgs4r 146 10 g g NN cord-017142-vx3rgs4r 146 11 / / SYM cord-017142-vx3rgs4r 146 12 dL dl NN cord-017142-vx3rgs4r 146 13 if if IN cord-017142-vx3rgs4r 146 14 IgM IgM NNP cord-017142-vx3rgs4r 146 15 , , , cord-017142-vx3rgs4r 146 16 4 4 CD cord-017142-vx3rgs4r 146 17 g g NN cord-017142-vx3rgs4r 146 18 / / SYM cord-017142-vx3rgs4r 146 19 dL dL NNP cord-017142-vx3rgs4r 146 20 for for IN cord-017142-vx3rgs4r 146 21 IgG IgG NNP cord-017142-vx3rgs4r 146 22 , , , cord-017142-vx3rgs4r 146 23 and and CC cord-017142-vx3rgs4r 146 24 6 6 CD cord-017142-vx3rgs4r 146 25 - - SYM cord-017142-vx3rgs4r 146 26 7 7 CD cord-017142-vx3rgs4r 146 27 g g NN cord-017142-vx3rgs4r 146 28 / / SYM cord-017142-vx3rgs4r 146 29 dL dL NNP cord-017142-vx3rgs4r 146 30 for for IN cord-017142-vx3rgs4r 146 31 IgA IgA NNP cord-017142-vx3rgs4r 146 32 paraproteinemia paraproteinemia NNP cord-017142-vx3rgs4r 146 33 . . . cord-017142-vx3rgs4r 147 1 However however RB cord-017142-vx3rgs4r 147 2 , , , cord-017142-vx3rgs4r 147 3 these these DT cord-017142-vx3rgs4r 147 4 levels level NNS cord-017142-vx3rgs4r 147 5 are be VBP cord-017142-vx3rgs4r 147 6 arbitrary arbitrary JJ cord-017142-vx3rgs4r 147 7 , , , cord-017142-vx3rgs4r 147 8 and and CC cord-017142-vx3rgs4r 147 9 the the DT cord-017142-vx3rgs4r 147 10 relationship relationship NN cord-017142-vx3rgs4r 147 11 is be VBZ cord-017142-vx3rgs4r 147 12 nonlinear nonlinear JJ cord-017142-vx3rgs4r 147 13 as as IN cord-017142-vx3rgs4r 147 14 patients patient NNS cord-017142-vx3rgs4r 147 15 can can MD cord-017142-vx3rgs4r 147 16 have have VB cord-017142-vx3rgs4r 147 17 symptoms symptom NNS cord-017142-vx3rgs4r 147 18 even even RB cord-017142-vx3rgs4r 147 19 with with IN cord-017142-vx3rgs4r 147 20 a a DT cord-017142-vx3rgs4r 147 21 level level NN cord-017142-vx3rgs4r 147 22 lower lower RBR cord-017142-vx3rgs4r 147 23 or or CC cord-017142-vx3rgs4r 147 24 could could MD cord-017142-vx3rgs4r 147 25 be be VB cord-017142-vx3rgs4r 147 26 asymptomatic asymptomatic JJ cord-017142-vx3rgs4r 147 27 with with IN cord-017142-vx3rgs4r 147 28 a a DT cord-017142-vx3rgs4r 147 29 higher high JJR cord-017142-vx3rgs4r 147 30 level level NN cord-017142-vx3rgs4r 147 31 [ [ -LRB- cord-017142-vx3rgs4r 147 32 49 49 CD cord-017142-vx3rgs4r 147 33 , , , cord-017142-vx3rgs4r 147 34 94 94 CD cord-017142-vx3rgs4r 147 35 ] ] -RRB- cord-017142-vx3rgs4r 147 36 . . . cord-017142-vx3rgs4r 148 1 In in IN cord-017142-vx3rgs4r 148 2 MM MM NNP cord-017142-vx3rgs4r 148 3 , , , cord-017142-vx3rgs4r 148 4 IgG IgG NNP cord-017142-vx3rgs4r 148 5 ( ( -LRB- cord-017142-vx3rgs4r 148 6 mostly mostly RB cord-017142-vx3rgs4r 148 7 IgG3 IgG3 NNP cord-017142-vx3rgs4r 148 8 ) ) -RRB- cord-017142-vx3rgs4r 148 9 or or CC cord-017142-vx3rgs4r 148 10 IgA IgA NNP cord-017142-vx3rgs4r 148 11 paraprotein paraprotein NNP cord-017142-vx3rgs4r 148 12 tends tend VBZ cord-017142-vx3rgs4r 148 13 to to TO cord-017142-vx3rgs4r 148 14 be be VB cord-017142-vx3rgs4r 148 15 reported report VBN cord-017142-vx3rgs4r 148 16 more more RBR cord-017142-vx3rgs4r 148 17 commonly commonly RB cord-017142-vx3rgs4r 148 18 with with IN cord-017142-vx3rgs4r 148 19 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 148 20 than than IN cord-017142-vx3rgs4r 148 21 IgM IgM NNP cord-017142-vx3rgs4r 148 22 most most RBS cord-017142-vx3rgs4r 148 23 likely likely JJ cord-017142-vx3rgs4r 148 24 due due IN cord-017142-vx3rgs4r 148 25 to to IN cord-017142-vx3rgs4r 148 26 the the DT cord-017142-vx3rgs4r 148 27 inherent inherent JJ cord-017142-vx3rgs4r 148 28 rarity rarity NN cord-017142-vx3rgs4r 148 29 of of IN cord-017142-vx3rgs4r 148 30 IgM IgM NNP cord-017142-vx3rgs4r 148 31 MM MM NNP cord-017142-vx3rgs4r 148 32 [ [ -LRB- cord-017142-vx3rgs4r 148 33 28 28 CD cord-017142-vx3rgs4r 148 34 , , , cord-017142-vx3rgs4r 148 35 81 81 CD cord-017142-vx3rgs4r 148 36 ] ] -RRB- cord-017142-vx3rgs4r 148 37 . . . cord-017142-vx3rgs4r 149 1 Due due IN cord-017142-vx3rgs4r 149 2 to to IN cord-017142-vx3rgs4r 149 3 increased increase VBN cord-017142-vx3rgs4r 149 4 serum serum NN cord-017142-vx3rgs4r 149 5 viscosity viscosity NN cord-017142-vx3rgs4r 149 6 , , , cord-017142-vx3rgs4r 149 7 there there EX cord-017142-vx3rgs4r 149 8 is be VBZ cord-017142-vx3rgs4r 149 9 impaired impair VBN cord-017142-vx3rgs4r 149 10 blood blood NN cord-017142-vx3rgs4r 149 11 flow flow NN cord-017142-vx3rgs4r 149 12 and and CC cord-017142-vx3rgs4r 149 13 sludging sludging NN cord-017142-vx3rgs4r 149 14 throughout throughout IN cord-017142-vx3rgs4r 149 15 the the DT cord-017142-vx3rgs4r 149 16 microvasculature microvasculature NN cord-017142-vx3rgs4r 149 17 , , , cord-017142-vx3rgs4r 149 18 leading lead VBG cord-017142-vx3rgs4r 149 19 to to IN cord-017142-vx3rgs4r 149 20 tissue tissue NN cord-017142-vx3rgs4r 149 21 ischemia ischemia NN cord-017142-vx3rgs4r 149 22 , , , cord-017142-vx3rgs4r 149 23 placing place VBG cord-017142-vx3rgs4r 149 24 the the DT cord-017142-vx3rgs4r 149 25 patient patient NN cord-017142-vx3rgs4r 149 26 at at IN cord-017142-vx3rgs4r 149 27 risk risk NN cord-017142-vx3rgs4r 149 28 for for IN cord-017142-vx3rgs4r 149 29 thrombosis thrombosis NN cord-017142-vx3rgs4r 149 30 to to IN cord-017142-vx3rgs4r 149 31 major major JJ cord-017142-vx3rgs4r 149 32 organs organ NNS cord-017142-vx3rgs4r 149 33 leading lead VBG cord-017142-vx3rgs4r 149 34 to to IN cord-017142-vx3rgs4r 149 35 myocardial myocardial JJ cord-017142-vx3rgs4r 149 36 , , , cord-017142-vx3rgs4r 149 37 cerebrovascular cerebrovascular JJ cord-017142-vx3rgs4r 149 38 , , , cord-017142-vx3rgs4r 149 39 and and CC cord-017142-vx3rgs4r 149 40 retinal retinal JJ cord-017142-vx3rgs4r 149 41 ischemia ischemia NN cord-017142-vx3rgs4r 149 42 . . . cord-017142-vx3rgs4r 150 1 With with IN cord-017142-vx3rgs4r 150 2 passive passive JJ cord-017142-vx3rgs4r 150 3 venous venous JJ cord-017142-vx3rgs4r 150 4 congestion congestion NN cord-017142-vx3rgs4r 150 5 , , , cord-017142-vx3rgs4r 150 6 patients patient NNS cord-017142-vx3rgs4r 150 7 can can MD cord-017142-vx3rgs4r 150 8 often often RB cord-017142-vx3rgs4r 150 9 present present VB cord-017142-vx3rgs4r 150 10 with with IN cord-017142-vx3rgs4r 150 11 bleeding bleed VBG cord-017142-vx3rgs4r 150 12 symptoms symptom NNS cord-017142-vx3rgs4r 150 13 . . . cord-017142-vx3rgs4r 151 1 Thorough thorough JJ cord-017142-vx3rgs4r 151 2 physical physical JJ cord-017142-vx3rgs4r 151 3 exam exam NN cord-017142-vx3rgs4r 151 4 is be VBZ cord-017142-vx3rgs4r 151 5 paramount paramount NN cord-017142-vx3rgs4r 151 6 including include VBG cord-017142-vx3rgs4r 151 7 a a DT cord-017142-vx3rgs4r 151 8 fundoscopic fundoscopic NNP cord-017142-vx3rgs4r 151 9 exam exam NN cord-017142-vx3rgs4r 151 10 , , , cord-017142-vx3rgs4r 151 11 which which WDT cord-017142-vx3rgs4r 151 12 may may MD cord-017142-vx3rgs4r 151 13 reveal reveal VB cord-017142-vx3rgs4r 151 14 dilated dilated JJ cord-017142-vx3rgs4r 151 15 , , , cord-017142-vx3rgs4r 151 16 tortuous tortuous JJ cord-017142-vx3rgs4r 151 17 , , , cord-017142-vx3rgs4r 151 18 engorged engorged JJ cord-017142-vx3rgs4r 151 19 , , , cord-017142-vx3rgs4r 151 20 " " `` cord-017142-vx3rgs4r 151 21 sausage sausage NN cord-017142-vx3rgs4r 151 22 " " '' cord-017142-vx3rgs4r 151 23 veins vein NNS cord-017142-vx3rgs4r 151 24 with with IN cord-017142-vx3rgs4r 151 25 associated associated JJ cord-017142-vx3rgs4r 151 26 hemorrhages hemorrhage NNS cord-017142-vx3rgs4r 151 27 . . . cord-017142-vx3rgs4r 152 1 Bleeding bleed VBG cord-017142-vx3rgs4r 152 2 at at IN cord-017142-vx3rgs4r 152 3 sites site NNS cord-017142-vx3rgs4r 152 4 involving involve VBG cord-017142-vx3rgs4r 152 5 mucosa mucosa JJ cord-017142-vx3rgs4r 152 6 is be VBZ cord-017142-vx3rgs4r 152 7 common common JJ cord-017142-vx3rgs4r 152 8 which which WDT cord-017142-vx3rgs4r 152 9 can can MD cord-017142-vx3rgs4r 152 10 include include VB cord-017142-vx3rgs4r 152 11 oral oral JJ cord-017142-vx3rgs4r 152 12 and and CC cord-017142-vx3rgs4r 152 13 nasal nasal JJ cord-017142-vx3rgs4r 152 14 cavity cavity NN cord-017142-vx3rgs4r 152 15 , , , cord-017142-vx3rgs4r 152 16 the the DT cord-017142-vx3rgs4r 152 17 uterus uterus NN cord-017142-vx3rgs4r 152 18 , , , cord-017142-vx3rgs4r 152 19 and and CC cord-017142-vx3rgs4r 152 20 the the DT cord-017142-vx3rgs4r 152 21 gastrointestinal gastrointestinal JJ cord-017142-vx3rgs4r 152 22 tract tract NN cord-017142-vx3rgs4r 152 23 . . . cord-017142-vx3rgs4r 153 1 Purpura purpura NN cord-017142-vx3rgs4r 153 2 and and CC cord-017142-vx3rgs4r 153 3 skin skin NN cord-017142-vx3rgs4r 153 4 bruising bruising NN cord-017142-vx3rgs4r 153 5 are be VBP cord-017142-vx3rgs4r 153 6 also also RB cord-017142-vx3rgs4r 153 7 common common JJ cord-017142-vx3rgs4r 153 8 . . . cord-017142-vx3rgs4r 154 1 Consensus Consensus NNP cord-017142-vx3rgs4r 154 2 MM MM NNP cord-017142-vx3rgs4r 154 3 guidelines guideline NNS cord-017142-vx3rgs4r 154 4 do do VBP cord-017142-vx3rgs4r 154 5 not not RB cord-017142-vx3rgs4r 154 6 recommend recommend VB cord-017142-vx3rgs4r 154 7 plasmapheresis plasmapheresis NN cord-017142-vx3rgs4r 154 8 in in IN cord-017142-vx3rgs4r 154 9 the the DT cord-017142-vx3rgs4r 154 10 absence absence NN cord-017142-vx3rgs4r 154 11 of of IN cord-017142-vx3rgs4r 154 12 signs sign NNS cord-017142-vx3rgs4r 154 13 or or CC cord-017142-vx3rgs4r 154 14 symptoms symptom NNS cord-017142-vx3rgs4r 154 15 for for IN cord-017142-vx3rgs4r 154 16 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 154 17 . . . cord-017142-vx3rgs4r 155 1 However however RB cord-017142-vx3rgs4r 155 2 , , , cord-017142-vx3rgs4r 155 3 a a DT cord-017142-vx3rgs4r 155 4 low low JJ cord-017142-vx3rgs4r 155 5 threshold threshold NN cord-017142-vx3rgs4r 155 6 should should MD cord-017142-vx3rgs4r 155 7 be be VB cord-017142-vx3rgs4r 155 8 maintained maintain VBN cord-017142-vx3rgs4r 155 9 to to TO cord-017142-vx3rgs4r 155 10 initiate initiate VB cord-017142-vx3rgs4r 155 11 treatment treatment NN cord-017142-vx3rgs4r 155 12 at at IN cord-017142-vx3rgs4r 155 13 the the DT cord-017142-vx3rgs4r 155 14 earliest early JJS cord-017142-vx3rgs4r 155 15 suspicion suspicion NN cord-017142-vx3rgs4r 155 16 of of IN cord-017142-vx3rgs4r 155 17 symptoms symptom NNS cord-017142-vx3rgs4r 155 18 or or CC cord-017142-vx3rgs4r 155 19 signs sign NNS cord-017142-vx3rgs4r 155 20 ; ; : cord-017142-vx3rgs4r 155 21 it -PRON- PRP cord-017142-vx3rgs4r 155 22 follows follow VBZ cord-017142-vx3rgs4r 155 23 a a DT cord-017142-vx3rgs4r 155 24 two two CD cord-017142-vx3rgs4r 155 25 - - HYPH cord-017142-vx3rgs4r 155 26 prong prong NN cord-017142-vx3rgs4r 155 27 strategy strategy NN cord-017142-vx3rgs4r 155 28 consisting consist VBG cord-017142-vx3rgs4r 155 29 of of IN cord-017142-vx3rgs4r 155 30 immediate immediate JJ cord-017142-vx3rgs4r 155 31 plasmapheresis plasmapheresis NN cord-017142-vx3rgs4r 155 32 to to TO cord-017142-vx3rgs4r 155 33 lower lower VB cord-017142-vx3rgs4r 155 34 the the DT cord-017142-vx3rgs4r 155 35 excess excess JJ cord-017142-vx3rgs4r 155 36 paraproteins paraprotein NNS cord-017142-vx3rgs4r 155 37 and and CC cord-017142-vx3rgs4r 155 38 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 155 39 directed direct VBN cord-017142-vx3rgs4r 155 40 at at IN cord-017142-vx3rgs4r 155 41 the the DT cord-017142-vx3rgs4r 155 42 primary primary JJ cord-017142-vx3rgs4r 155 43 process process NN cord-017142-vx3rgs4r 155 44 of of IN cord-017142-vx3rgs4r 155 45 MM MM NNP cord-017142-vx3rgs4r 155 46 . . . cord-017142-vx3rgs4r 156 1 Unlike unlike IN cord-017142-vx3rgs4r 156 2 the the DT cord-017142-vx3rgs4r 156 3 response response NN cord-017142-vx3rgs4r 156 4 of of IN cord-017142-vx3rgs4r 156 5 IgM IgM NNP cord-017142-vx3rgs4r 156 6 - - HYPH cord-017142-vx3rgs4r 156 7 related relate VBN cord-017142-vx3rgs4r 156 8 paraproteinemia paraproteinemia NN cord-017142-vx3rgs4r 156 9 ( ( -LRB- cord-017142-vx3rgs4r 156 10 > > NFP cord-017142-vx3rgs4r 156 11 80 80 CD cord-017142-vx3rgs4r 156 12 % % NN cord-017142-vx3rgs4r 156 13 intravascular intravascular JJ cord-017142-vx3rgs4r 156 14 ) ) -RRB- cord-017142-vx3rgs4r 156 15 , , , cord-017142-vx3rgs4r 156 16 where where WRB cord-017142-vx3rgs4r 156 17 a a DT cord-017142-vx3rgs4r 156 18 50 50 CD cord-017142-vx3rgs4r 156 19 - - SYM cord-017142-vx3rgs4r 156 20 60 60 CD cord-017142-vx3rgs4r 156 21 % % NN cord-017142-vx3rgs4r 156 22 reduction reduction NN cord-017142-vx3rgs4r 156 23 of of IN cord-017142-vx3rgs4r 156 24 viscosity viscosity NN cord-017142-vx3rgs4r 156 25 is be VBZ cord-017142-vx3rgs4r 156 26 expected expect VBN cord-017142-vx3rgs4r 156 27 with with IN cord-017142-vx3rgs4r 156 28 one one CD cord-017142-vx3rgs4r 156 29 treatment treatment NN cord-017142-vx3rgs4r 156 30 , , , cord-017142-vx3rgs4r 156 31 IgA IgA NNP cord-017142-vx3rgs4r 156 32 or or CC cord-017142-vx3rgs4r 156 33 IgG IgG NNP cord-017142-vx3rgs4r 156 34 ( ( -LRB- cord-017142-vx3rgs4r 156 35 < < XX cord-017142-vx3rgs4r 156 36 50 50 CD cord-017142-vx3rgs4r 156 37 % % NN cord-017142-vx3rgs4r 156 38 intravascular intravascular JJ cord-017142-vx3rgs4r 156 39 ) ) -RRB- cord-017142-vx3rgs4r 157 1 hyperviscosity hyperviscosity NNP cord-017142-vx3rgs4r 157 2 can can MD cord-017142-vx3rgs4r 157 3 take take VB cord-017142-vx3rgs4r 157 4 several several JJ cord-017142-vx3rgs4r 157 5 sessions session NNS cord-017142-vx3rgs4r 157 6 to to TO cord-017142-vx3rgs4r 157 7 achieve achieve VB cord-017142-vx3rgs4r 157 8 the the DT cord-017142-vx3rgs4r 157 9 same same JJ cord-017142-vx3rgs4r 157 10 result result NN cord-017142-vx3rgs4r 157 11 [ [ -LRB- cord-017142-vx3rgs4r 157 12 83 83 CD cord-017142-vx3rgs4r 157 13 ] ] -RRB- cord-017142-vx3rgs4r 157 14 . . . cord-017142-vx3rgs4r 158 1 If if IN cord-017142-vx3rgs4r 158 2 plasmapheresis plasmapheresis NN cord-017142-vx3rgs4r 158 3 is be VBZ cord-017142-vx3rgs4r 158 4 not not RB cord-017142-vx3rgs4r 158 5 readily readily RB cord-017142-vx3rgs4r 158 6 available available JJ cord-017142-vx3rgs4r 158 7 and and CC cord-017142-vx3rgs4r 158 8 the the DT cord-017142-vx3rgs4r 158 9 patient patient NN cord-017142-vx3rgs4r 158 10 is be VBZ cord-017142-vx3rgs4r 158 11 having have VBG cord-017142-vx3rgs4r 158 12 lifethreatening lifethreatene VBG cord-017142-vx3rgs4r 158 13 symptoms symptom NNS cord-017142-vx3rgs4r 158 14 , , , cord-017142-vx3rgs4r 158 15 phlebotomy phlebotomy NN cord-017142-vx3rgs4r 158 16 may may MD cord-017142-vx3rgs4r 158 17 reduce reduce VB cord-017142-vx3rgs4r 158 18 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 158 19 - - HYPH cord-017142-vx3rgs4r 158 20 related relate VBN cord-017142-vx3rgs4r 158 21 acute acute JJ cord-017142-vx3rgs4r 158 22 symptoms symptom NNS cord-017142-vx3rgs4r 158 23 . . . cord-017142-vx3rgs4r 159 1 In in IN cord-017142-vx3rgs4r 159 2 MM MM NNP cord-017142-vx3rgs4r 159 3 patients patient NNS cord-017142-vx3rgs4r 159 4 , , , cord-017142-vx3rgs4r 159 5 who who WP cord-017142-vx3rgs4r 159 6 are be VBP cord-017142-vx3rgs4r 159 7 often often RB cord-017142-vx3rgs4r 159 8 anemic anemic JJ cord-017142-vx3rgs4r 159 9 at at IN cord-017142-vx3rgs4r 159 10 presentation presentation NN cord-017142-vx3rgs4r 159 11 , , , cord-017142-vx3rgs4r 159 12 blood blood NN cord-017142-vx3rgs4r 159 13 transfusions transfusion NNS cord-017142-vx3rgs4r 159 14 should should MD cord-017142-vx3rgs4r 159 15 be be VB cord-017142-vx3rgs4r 159 16 done do VBN cord-017142-vx3rgs4r 159 17 only only RB cord-017142-vx3rgs4r 159 18 in in IN cord-017142-vx3rgs4r 159 19 emergent emergent JJ cord-017142-vx3rgs4r 159 20 situations situation NNS cord-017142-vx3rgs4r 159 21 and and CC cord-017142-vx3rgs4r 159 22 with with IN cord-017142-vx3rgs4r 159 23 caution caution NN cord-017142-vx3rgs4r 159 24 until until IN cord-017142-vx3rgs4r 159 25 after after IN cord-017142-vx3rgs4r 159 26 the the DT cord-017142-vx3rgs4r 159 27 initiation initiation NN cord-017142-vx3rgs4r 159 28 of of IN cord-017142-vx3rgs4r 159 29 plasmapheresis plasmapheresis NN cord-017142-vx3rgs4r 159 30 to to TO cord-017142-vx3rgs4r 159 31 prevent prevent VB cord-017142-vx3rgs4r 159 32 rise rise NN cord-017142-vx3rgs4r 159 33 in in IN cord-017142-vx3rgs4r 159 34 serum serum NN cord-017142-vx3rgs4r 159 35 viscosity viscosity NN cord-017142-vx3rgs4r 159 36 [ [ -LRB- cord-017142-vx3rgs4r 159 37 110 110 CD cord-017142-vx3rgs4r 159 38 , , , cord-017142-vx3rgs4r 159 39 119 119 CD cord-017142-vx3rgs4r 159 40 ] ] -RRB- cord-017142-vx3rgs4r 159 41 . . . cord-017142-vx3rgs4r 160 1 Venous venous JJ cord-017142-vx3rgs4r 160 2 thromboembolism thromboembolism NN cord-017142-vx3rgs4r 160 3 : : : cord-017142-vx3rgs4r 161 1 Patients patient NNS cord-017142-vx3rgs4r 161 2 with with IN cord-017142-vx3rgs4r 161 3 MM MM NNP cord-017142-vx3rgs4r 161 4 are be VBP cord-017142-vx3rgs4r 161 5 at at IN cord-017142-vx3rgs4r 161 6 an an DT cord-017142-vx3rgs4r 161 7 increased increase VBN cord-017142-vx3rgs4r 161 8 risk risk NN cord-017142-vx3rgs4r 161 9 of of IN cord-017142-vx3rgs4r 161 10 venous venous JJ cord-017142-vx3rgs4r 161 11 thrombosis thrombosis NN cord-017142-vx3rgs4r 161 12 due due IN cord-017142-vx3rgs4r 161 13 to to IN cord-017142-vx3rgs4r 161 14 patient patient NN cord-017142-vx3rgs4r 161 15 - - HYPH cord-017142-vx3rgs4r 161 16 related relate VBN cord-017142-vx3rgs4r 161 17 , , , cord-017142-vx3rgs4r 161 18 disease disease NN cord-017142-vx3rgs4r 161 19 - - HYPH cord-017142-vx3rgs4r 161 20 related relate VBN cord-017142-vx3rgs4r 161 21 , , , cord-017142-vx3rgs4r 161 22 and and CC cord-017142-vx3rgs4r 161 23 treatment treatment NN cord-017142-vx3rgs4r 161 24 - - HYPH cord-017142-vx3rgs4r 161 25 related relate VBN cord-017142-vx3rgs4r 161 26 factors factor NNS cord-017142-vx3rgs4r 161 27 . . . cord-017142-vx3rgs4r 162 1 Patient patient NN cord-017142-vx3rgs4r 162 2 - - HYPH cord-017142-vx3rgs4r 162 3 related relate VBN cord-017142-vx3rgs4r 162 4 factors factor NNS cord-017142-vx3rgs4r 162 5 include include VBP cord-017142-vx3rgs4r 162 6 older old JJR cord-017142-vx3rgs4r 162 7 age age NN cord-017142-vx3rgs4r 162 8 , , , cord-017142-vx3rgs4r 162 9 recent recent JJ cord-017142-vx3rgs4r 162 10 surgery surgery NN cord-017142-vx3rgs4r 162 11 or or CC cord-017142-vx3rgs4r 162 12 immobilization immobilization NN cord-017142-vx3rgs4r 162 13 , , , cord-017142-vx3rgs4r 162 14 and and CC cord-017142-vx3rgs4r 162 15 decreased decrease VBD cord-017142-vx3rgs4r 162 16 functional functional JJ cord-017142-vx3rgs4r 162 17 status status NN cord-017142-vx3rgs4r 162 18 ; ; : cord-017142-vx3rgs4r 162 19 the the DT cord-017142-vx3rgs4r 162 20 major major JJ cord-017142-vx3rgs4r 162 21 disease disease NN cord-017142-vx3rgs4r 162 22 - - HYPH cord-017142-vx3rgs4r 162 23 related relate VBN cord-017142-vx3rgs4r 162 24 factor factor NN cord-017142-vx3rgs4r 162 25 is be VBZ cord-017142-vx3rgs4r 162 26 increased increase VBN cord-017142-vx3rgs4r 162 27 pro pro JJ cord-017142-vx3rgs4r 162 28 - - JJ cord-017142-vx3rgs4r 162 29 thrombotic thrombotic JJ cord-017142-vx3rgs4r 162 30 status status NN cord-017142-vx3rgs4r 162 31 from from IN cord-017142-vx3rgs4r 162 32 heightened heighten VBN cord-017142-vx3rgs4r 162 33 inflammatory inflammatory JJ cord-017142-vx3rgs4r 162 34 markers marker NNS cord-017142-vx3rgs4r 162 35 , , , cord-017142-vx3rgs4r 162 36 especially especially RB cord-017142-vx3rgs4r 162 37 at at IN cord-017142-vx3rgs4r 162 38 diagnosis diagnosis NN cord-017142-vx3rgs4r 162 39 . . . cord-017142-vx3rgs4r 163 1 There there EX cord-017142-vx3rgs4r 163 2 is be VBZ cord-017142-vx3rgs4r 163 3 a a DT cord-017142-vx3rgs4r 163 4 high high JJ cord-017142-vx3rgs4r 163 5 level level NN cord-017142-vx3rgs4r 163 6 of of IN cord-017142-vx3rgs4r 163 7 factor factor NN cord-017142-vx3rgs4r 163 8 VIII VIII NNP cord-017142-vx3rgs4r 163 9 and and CC cord-017142-vx3rgs4r 163 10 von von NNP cord-017142-vx3rgs4r 163 11 Willebrand Willebrand NNP cord-017142-vx3rgs4r 163 12 factor factor NN cord-017142-vx3rgs4r 163 13 as as RB cord-017142-vx3rgs4r 163 14 well well RB cord-017142-vx3rgs4r 163 15 as as IN cord-017142-vx3rgs4r 163 16 acquired acquire VBN cord-017142-vx3rgs4r 163 17 resistance resistance NN cord-017142-vx3rgs4r 163 18 to to IN cord-017142-vx3rgs4r 163 19 activated activate VBN cord-017142-vx3rgs4r 163 20 protein protein NN cord-017142-vx3rgs4r 163 21 C C NNP cord-017142-vx3rgs4r 163 22 [ [ -LRB- cord-017142-vx3rgs4r 163 23 33 33 CD cord-017142-vx3rgs4r 163 24 ] ] -RRB- cord-017142-vx3rgs4r 163 25 . . . cord-017142-vx3rgs4r 164 1 In in IN cord-017142-vx3rgs4r 164 2 addition addition NN cord-017142-vx3rgs4r 164 3 , , , cord-017142-vx3rgs4r 164 4 MM MM NNP cord-017142-vx3rgs4r 164 5 patients patient NNS cord-017142-vx3rgs4r 164 6 treated treat VBN cord-017142-vx3rgs4r 164 7 with with IN cord-017142-vx3rgs4r 164 8 immunomodulators immunomodulator NNS cord-017142-vx3rgs4r 164 9 especially especially RB cord-017142-vx3rgs4r 164 10 thalidomide thalidomide JJ cord-017142-vx3rgs4r 164 11 or or CC cord-017142-vx3rgs4r 164 12 lenalidomide lenalidomide NN cord-017142-vx3rgs4r 164 13 used use VBN cord-017142-vx3rgs4r 164 14 in in IN cord-017142-vx3rgs4r 164 15 combination combination NN cord-017142-vx3rgs4r 164 16 with with IN cord-017142-vx3rgs4r 164 17 steroids steroid NNS cord-017142-vx3rgs4r 164 18 or or CC cord-017142-vx3rgs4r 164 19 other other JJ cord-017142-vx3rgs4r 164 20 chemotherapeutic chemotherapeutic JJ cord-017142-vx3rgs4r 164 21 agents agent NNS cord-017142-vx3rgs4r 164 22 increase increase VBP cord-017142-vx3rgs4r 164 23 the the DT cord-017142-vx3rgs4r 164 24 risk risk NN cord-017142-vx3rgs4r 164 25 further further RB cord-017142-vx3rgs4r 164 26 [ [ -LRB- cord-017142-vx3rgs4r 164 27 89 89 CD cord-017142-vx3rgs4r 164 28 , , , cord-017142-vx3rgs4r 164 29 132 132 CD cord-017142-vx3rgs4r 164 30 ] ] -RRB- cord-017142-vx3rgs4r 164 31 . . . cord-017142-vx3rgs4r 165 1 Management management NN cord-017142-vx3rgs4r 165 2 of of IN cord-017142-vx3rgs4r 165 3 acute acute JJ cord-017142-vx3rgs4r 165 4 DVT DVT NNP cord-017142-vx3rgs4r 165 5 or or CC cord-017142-vx3rgs4r 165 6 PE PE NNP cord-017142-vx3rgs4r 165 7 involves involve VBZ cord-017142-vx3rgs4r 165 8 withholding withhold VBG cord-017142-vx3rgs4r 165 9 the the DT cord-017142-vx3rgs4r 165 10 offending offending JJ cord-017142-vx3rgs4r 165 11 drug drug NN cord-017142-vx3rgs4r 165 12 if if IN cord-017142-vx3rgs4r 165 13 any any DT cord-017142-vx3rgs4r 165 14 and and CC cord-017142-vx3rgs4r 165 15 starting start VBG cord-017142-vx3rgs4r 165 16 immediate immediate JJ cord-017142-vx3rgs4r 165 17 systemic systemic JJ cord-017142-vx3rgs4r 165 18 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 165 19 with with IN cord-017142-vx3rgs4r 165 20 low low JJ cord-017142-vx3rgs4r 165 21 - - HYPH cord-017142-vx3rgs4r 165 22 molecular molecular JJ cord-017142-vx3rgs4r 165 23 - - HYPH cord-017142-vx3rgs4r 165 24 weight weight NN cord-017142-vx3rgs4r 165 25 heparin heparin NN cord-017142-vx3rgs4r 165 26 or or CC cord-017142-vx3rgs4r 165 27 unfractionated unfractionate VBN cord-017142-vx3rgs4r 165 28 heparin heparin NN cord-017142-vx3rgs4r 165 29 . . . cord-017142-vx3rgs4r 166 1 LMWH LMWH NNP cord-017142-vx3rgs4r 166 2 is be VBZ cord-017142-vx3rgs4r 166 3 the the DT cord-017142-vx3rgs4r 166 4 preferred preferred JJ cord-017142-vx3rgs4r 166 5 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 166 6 at at IN cord-017142-vx3rgs4r 166 7 the the DT cord-017142-vx3rgs4r 166 8 time time NN cord-017142-vx3rgs4r 166 9 of of IN cord-017142-vx3rgs4r 166 10 transition transition NN cord-017142-vx3rgs4r 166 11 to to IN cord-017142-vx3rgs4r 166 12 outpatient outpatient NN cord-017142-vx3rgs4r 166 13 therapy therapy NN cord-017142-vx3rgs4r 166 14 as as IN cord-017142-vx3rgs4r 166 15 evidence evidence NN cord-017142-vx3rgs4r 166 16 suggests suggest VBZ cord-017142-vx3rgs4r 166 17 better well JJR cord-017142-vx3rgs4r 166 18 safety safety NN cord-017142-vx3rgs4r 166 19 and and CC cord-017142-vx3rgs4r 166 20 a a DT cord-017142-vx3rgs4r 166 21 superior superior JJ cord-017142-vx3rgs4r 166 22 efficacy efficacy NN cord-017142-vx3rgs4r 166 23 in in IN cord-017142-vx3rgs4r 166 24 stabilizing stabilize VBG cord-017142-vx3rgs4r 166 25 the the DT cord-017142-vx3rgs4r 166 26 clot clot NN cord-017142-vx3rgs4r 166 27 in in IN cord-017142-vx3rgs4r 166 28 comparison comparison NN cord-017142-vx3rgs4r 166 29 to to IN cord-017142-vx3rgs4r 166 30 other other JJ cord-017142-vx3rgs4r 166 31 anticoagulants anticoagulant NNS cord-017142-vx3rgs4r 166 32 [ [ -LRB- cord-017142-vx3rgs4r 166 33 67 67 CD cord-017142-vx3rgs4r 166 34 ] ] -RRB- cord-017142-vx3rgs4r 166 35 . . . cord-017142-vx3rgs4r 167 1 Factors factor NNS cord-017142-vx3rgs4r 167 2 that that WDT cord-017142-vx3rgs4r 167 3 make make VBP cord-017142-vx3rgs4r 167 4 oral oral JJ cord-017142-vx3rgs4r 167 5 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 167 6 less less RBR cord-017142-vx3rgs4r 167 7 ideal ideal NN cord-017142-vx3rgs4r 167 8 is be VBZ cord-017142-vx3rgs4r 167 9 drugdrug drugdrug JJ cord-017142-vx3rgs4r 167 10 interaction interaction NN cord-017142-vx3rgs4r 167 11 and and CC cord-017142-vx3rgs4r 167 12 unreliable unreliable JJ cord-017142-vx3rgs4r 167 13 therapeutic therapeutic JJ cord-017142-vx3rgs4r 167 14 levels level NNS cord-017142-vx3rgs4r 167 15 resulting result VBG cord-017142-vx3rgs4r 167 16 from from IN cord-017142-vx3rgs4r 167 17 patient patient NN cord-017142-vx3rgs4r 167 18 - - HYPH cord-017142-vx3rgs4r 167 19 related relate VBN cord-017142-vx3rgs4r 167 20 malnutrition malnutrition NN cord-017142-vx3rgs4r 167 21 , , , cord-017142-vx3rgs4r 167 22 infection infection NN cord-017142-vx3rgs4r 167 23 , , , cord-017142-vx3rgs4r 167 24 and and CC cord-017142-vx3rgs4r 167 25 drug drug NN cord-017142-vx3rgs4r 167 26 holds hold VBZ cord-017142-vx3rgs4r 167 27 from from IN cord-017142-vx3rgs4r 167 28 cytopenias cytopenias NNP cord-017142-vx3rgs4r 167 29 . . . cord-017142-vx3rgs4r 168 1 Once once IN cord-017142-vx3rgs4r 168 2 full full JJ cord-017142-vx3rgs4r 168 3 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 168 4 is be VBZ cord-017142-vx3rgs4r 168 5 attained attain VBN cord-017142-vx3rgs4r 168 6 , , , cord-017142-vx3rgs4r 168 7 the the DT cord-017142-vx3rgs4r 168 8 immunomodulator immunomodulator NN cord-017142-vx3rgs4r 168 9 can can MD cord-017142-vx3rgs4r 168 10 be be VB cord-017142-vx3rgs4r 168 11 reintroduced reintroduce VBN cord-017142-vx3rgs4r 168 12 . . . cord-017142-vx3rgs4r 169 1 In in IN cord-017142-vx3rgs4r 169 2 the the DT cord-017142-vx3rgs4r 169 3 presence presence NN cord-017142-vx3rgs4r 169 4 of of IN cord-017142-vx3rgs4r 169 5 thrombocytopenia thrombocytopenia NN cord-017142-vx3rgs4r 169 6 , , , cord-017142-vx3rgs4r 169 7 which which WDT cord-017142-vx3rgs4r 169 8 is be VBZ cord-017142-vx3rgs4r 169 9 commonly commonly RB cord-017142-vx3rgs4r 169 10 encountered encounter VBN cord-017142-vx3rgs4r 169 11 in in IN cord-017142-vx3rgs4r 169 12 MM MM NNP cord-017142-vx3rgs4r 169 13 patients patient NNS cord-017142-vx3rgs4r 169 14 , , , cord-017142-vx3rgs4r 169 15 the the DT cord-017142-vx3rgs4r 169 16 dose dose NN cord-017142-vx3rgs4r 169 17 of of IN cord-017142-vx3rgs4r 169 18 LMWH LMWH NNP cord-017142-vx3rgs4r 169 19 needs need VBZ cord-017142-vx3rgs4r 169 20 adjustment adjustment NN cord-017142-vx3rgs4r 169 21 and and CC cord-017142-vx3rgs4r 169 22 in in IN cord-017142-vx3rgs4r 169 23 general general JJ cord-017142-vx3rgs4r 169 24 a a DT cord-017142-vx3rgs4r 169 25 recommendation recommendation NN cord-017142-vx3rgs4r 169 26 of of IN cord-017142-vx3rgs4r 169 27 50 50 CD cord-017142-vx3rgs4r 169 28 % % NN cord-017142-vx3rgs4r 169 29 dose dose NN cord-017142-vx3rgs4r 169 30 reduction reduction NN cord-017142-vx3rgs4r 169 31 if if IN cord-017142-vx3rgs4r 169 32 platelet platelet NN cord-017142-vx3rgs4r 169 33 counts count VBZ cord-017142-vx3rgs4r 169 34 below below IN cord-017142-vx3rgs4r 169 35 50,000 50,000 CD cord-017142-vx3rgs4r 169 36 / / SYM cord-017142-vx3rgs4r 169 37 μL μl NN cord-017142-vx3rgs4r 169 38 , , , cord-017142-vx3rgs4r 169 39 and and CC cord-017142-vx3rgs4r 169 40 discontinuation discontinuation NN cord-017142-vx3rgs4r 169 41 if if IN cord-017142-vx3rgs4r 169 42 platelet platelet NN cord-017142-vx3rgs4r 169 43 count count VBP cord-017142-vx3rgs4r 169 44 < < XX cord-017142-vx3rgs4r 169 45 20,000 20,000 CD cord-017142-vx3rgs4r 170 1 /μL /μL : cord-017142-vx3rgs4r 170 2 is be VBZ cord-017142-vx3rgs4r 170 3 followed follow VBN cord-017142-vx3rgs4r 170 4 . . . cord-017142-vx3rgs4r 171 1 Duration duration NN cord-017142-vx3rgs4r 171 2 of of IN cord-017142-vx3rgs4r 171 3 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 171 4 should should MD cord-017142-vx3rgs4r 171 5 be be VB cord-017142-vx3rgs4r 171 6 a a DT cord-017142-vx3rgs4r 171 7 minimum minimum NN cord-017142-vx3rgs4r 171 8 of of IN cord-017142-vx3rgs4r 171 9 6 6 CD cord-017142-vx3rgs4r 171 10 months month NNS cord-017142-vx3rgs4r 171 11 ; ; : cord-017142-vx3rgs4r 171 12 however however RB cord-017142-vx3rgs4r 171 13 in in IN cord-017142-vx3rgs4r 171 14 the the DT cord-017142-vx3rgs4r 171 15 presence presence NN cord-017142-vx3rgs4r 171 16 of of IN cord-017142-vx3rgs4r 171 17 the the DT cord-017142-vx3rgs4r 171 18 offending offending JJ cord-017142-vx3rgs4r 171 19 drug drug NN cord-017142-vx3rgs4r 171 20 , , , cord-017142-vx3rgs4r 171 21 systemic systemic JJ cord-017142-vx3rgs4r 171 22 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 171 23 should should MD cord-017142-vx3rgs4r 171 24 be be VB cord-017142-vx3rgs4r 171 25 continued continue VBN cord-017142-vx3rgs4r 171 26 for for IN cord-017142-vx3rgs4r 171 27 the the DT cord-017142-vx3rgs4r 171 28 total total JJ cord-017142-vx3rgs4r 171 29 duration duration NN cord-017142-vx3rgs4r 171 30 of of IN cord-017142-vx3rgs4r 171 31 therapy therapy NN cord-017142-vx3rgs4r 171 32 [ [ -LRB- cord-017142-vx3rgs4r 171 33 13 13 CD cord-017142-vx3rgs4r 171 34 ] ] -RRB- cord-017142-vx3rgs4r 171 35 . . . cord-017142-vx3rgs4r 172 1 Arterial arterial JJ cord-017142-vx3rgs4r 172 2 thromboembolic thromboembolic JJ cord-017142-vx3rgs4r 172 3 events event NNS cord-017142-vx3rgs4r 172 4 , , , cord-017142-vx3rgs4r 172 5 though though IN cord-017142-vx3rgs4r 172 6 rare rare JJ cord-017142-vx3rgs4r 172 7 , , , cord-017142-vx3rgs4r 172 8 have have VBP cord-017142-vx3rgs4r 172 9 also also RB cord-017142-vx3rgs4r 172 10 been be VBN cord-017142-vx3rgs4r 172 11 reported report VBN cord-017142-vx3rgs4r 172 12 with with IN cord-017142-vx3rgs4r 172 13 thalidomide thalidomide NN cord-017142-vx3rgs4r 172 14 , , , cord-017142-vx3rgs4r 172 15 lenalidomide lenalidomide NN cord-017142-vx3rgs4r 172 16 , , , cord-017142-vx3rgs4r 172 17 and and CC cord-017142-vx3rgs4r 172 18 pomalidomide pomalidomide NN cord-017142-vx3rgs4r 172 19 ; ; : cord-017142-vx3rgs4r 172 20 rarely rarely RB cord-017142-vx3rgs4r 172 21 , , , cord-017142-vx3rgs4r 172 22 this this DT cord-017142-vx3rgs4r 172 23 may may MD cord-017142-vx3rgs4r 172 24 present present VB cord-017142-vx3rgs4r 172 25 as as IN cord-017142-vx3rgs4r 172 26 myocardial myocardial JJ cord-017142-vx3rgs4r 172 27 infarction infarction NN cord-017142-vx3rgs4r 172 28 or or CC cord-017142-vx3rgs4r 172 29 stroke stroke NN cord-017142-vx3rgs4r 172 30 . . . cord-017142-vx3rgs4r 173 1 The the DT cord-017142-vx3rgs4r 173 2 role role NN cord-017142-vx3rgs4r 173 3 of of IN cord-017142-vx3rgs4r 173 4 newer new JJR cord-017142-vx3rgs4r 173 5 oral oral JJ cord-017142-vx3rgs4r 173 6 anticoagulants anticoagulant NNS cord-017142-vx3rgs4r 173 7 including include VBG cord-017142-vx3rgs4r 173 8 factor factor NN cord-017142-vx3rgs4r 173 9 Xa Xa NNP cord-017142-vx3rgs4r 173 10 inhibitors inhibitor NNS cord-017142-vx3rgs4r 173 11 and and CC cord-017142-vx3rgs4r 173 12 direct direct JJ cord-017142-vx3rgs4r 173 13 thrombin thrombin NN cord-017142-vx3rgs4r 173 14 inhibitors inhibitor NNS cord-017142-vx3rgs4r 173 15 is be VBZ cord-017142-vx3rgs4r 173 16 currently currently RB cord-017142-vx3rgs4r 173 17 investigational investigational JJ cord-017142-vx3rgs4r 173 18 in in IN cord-017142-vx3rgs4r 173 19 the the DT cord-017142-vx3rgs4r 173 20 treatment treatment NN cord-017142-vx3rgs4r 173 21 of of IN cord-017142-vx3rgs4r 173 22 malignancy malignancy NN cord-017142-vx3rgs4r 173 23 - - HYPH cord-017142-vx3rgs4r 173 24 associated associate VBN cord-017142-vx3rgs4r 173 25 thromboembolic thromboembolic JJ cord-017142-vx3rgs4r 173 26 events event NNS cord-017142-vx3rgs4r 173 27 ; ; : cord-017142-vx3rgs4r 173 28 however however RB cord-017142-vx3rgs4r 173 29 , , , cord-017142-vx3rgs4r 173 30 they -PRON- PRP cord-017142-vx3rgs4r 173 31 are be VBP cord-017142-vx3rgs4r 173 32 a a DT cord-017142-vx3rgs4r 173 33 good good JJ cord-017142-vx3rgs4r 173 34 alternative alternative NN cord-017142-vx3rgs4r 173 35 for for IN cord-017142-vx3rgs4r 173 36 patients patient NNS cord-017142-vx3rgs4r 173 37 with with IN cord-017142-vx3rgs4r 173 38 renal renal JJ cord-017142-vx3rgs4r 173 39 failure failure NN cord-017142-vx3rgs4r 173 40 [ [ -LRB- cord-017142-vx3rgs4r 173 41 26 26 CD cord-017142-vx3rgs4r 173 42 ] ] -RRB- cord-017142-vx3rgs4r 173 43 . . . cord-017142-vx3rgs4r 174 1 Sepsis sepsis NN cord-017142-vx3rgs4r 174 2 / / SYM cord-017142-vx3rgs4r 174 3 invasive invasive JJ cord-017142-vx3rgs4r 174 4 infections infection NNS cord-017142-vx3rgs4r 174 5 : : : cord-017142-vx3rgs4r 175 1 10 10 CD cord-017142-vx3rgs4r 175 2 - - SYM cord-017142-vx3rgs4r 175 3 15 15 CD cord-017142-vx3rgs4r 175 4 % % NN cord-017142-vx3rgs4r 175 5 of of IN cord-017142-vx3rgs4r 175 6 newly newly RB cord-017142-vx3rgs4r 175 7 diagnosed diagnose VBN cord-017142-vx3rgs4r 175 8 MM MM NNP cord-017142-vx3rgs4r 175 9 patients patient NNS cord-017142-vx3rgs4r 175 10 succumb succumb VBP cord-017142-vx3rgs4r 175 11 to to IN cord-017142-vx3rgs4r 175 12 the the DT cord-017142-vx3rgs4r 175 13 disease disease NN cord-017142-vx3rgs4r 175 14 in in IN cord-017142-vx3rgs4r 175 15 the the DT cord-017142-vx3rgs4r 175 16 first first JJ cord-017142-vx3rgs4r 175 17 few few JJ cord-017142-vx3rgs4r 175 18 months month NNS cord-017142-vx3rgs4r 175 19 with with IN cord-017142-vx3rgs4r 175 20 infection infection NN cord-017142-vx3rgs4r 175 21 contributing contribute VBG cord-017142-vx3rgs4r 175 22 to to IN cord-017142-vx3rgs4r 175 23 more more JJR cord-017142-vx3rgs4r 175 24 than than IN cord-017142-vx3rgs4r 175 25 half half PDT cord-017142-vx3rgs4r 175 26 the the DT cord-017142-vx3rgs4r 175 27 cases case NNS cord-017142-vx3rgs4r 175 28 [ [ -LRB- cord-017142-vx3rgs4r 175 29 6 6 CD cord-017142-vx3rgs4r 175 30 , , , cord-017142-vx3rgs4r 175 31 53 53 CD cord-017142-vx3rgs4r 175 32 , , , cord-017142-vx3rgs4r 175 33 88 88 CD cord-017142-vx3rgs4r 175 34 ] ] -RRB- cord-017142-vx3rgs4r 175 35 . . . cord-017142-vx3rgs4r 176 1 High high JJ cord-017142-vx3rgs4r 176 2 incidence incidence NN cord-017142-vx3rgs4r 176 3 of of IN cord-017142-vx3rgs4r 176 4 early early JJ cord-017142-vx3rgs4r 176 5 infection infection NN cord-017142-vx3rgs4r 176 6 in in IN cord-017142-vx3rgs4r 176 7 MM MM NNP cord-017142-vx3rgs4r 176 8 is be VBZ cord-017142-vx3rgs4r 176 9 due due JJ cord-017142-vx3rgs4r 176 10 to to IN cord-017142-vx3rgs4r 176 11 the the DT cord-017142-vx3rgs4r 176 12 suppressed suppress VBN cord-017142-vx3rgs4r 176 13 humoral humoral JJ cord-017142-vx3rgs4r 176 14 and and CC cord-017142-vx3rgs4r 176 15 T T NNP cord-017142-vx3rgs4r 176 16 cell cell NN cord-017142-vx3rgs4r 176 17 - - HYPH cord-017142-vx3rgs4r 176 18 mediated mediate VBN cord-017142-vx3rgs4r 176 19 immunity immunity NN cord-017142-vx3rgs4r 176 20 by by IN cord-017142-vx3rgs4r 176 21 the the DT cord-017142-vx3rgs4r 176 22 disease disease NN cord-017142-vx3rgs4r 176 23 itself -PRON- PRP cord-017142-vx3rgs4r 176 24 . . . cord-017142-vx3rgs4r 177 1 Immunosuppression Immunosuppression NNP cord-017142-vx3rgs4r 177 2 is be VBZ cord-017142-vx3rgs4r 177 3 mediated mediate VBN cord-017142-vx3rgs4r 177 4 by by IN cord-017142-vx3rgs4r 177 5 disease disease NN cord-017142-vx3rgs4r 177 6 - - HYPH cord-017142-vx3rgs4r 177 7 and and CC cord-017142-vx3rgs4r 177 8 treatment treatment NN cord-017142-vx3rgs4r 177 9 - - HYPH cord-017142-vx3rgs4r 177 10 related relate VBN cord-017142-vx3rgs4r 177 11 factors factor NNS cord-017142-vx3rgs4r 177 12 including include VBG cord-017142-vx3rgs4r 177 13 decreased decrease VBD cord-017142-vx3rgs4r 177 14 ratio ratio NN cord-017142-vx3rgs4r 177 15 of of IN cord-017142-vx3rgs4r 177 16 functional functional JJ cord-017142-vx3rgs4r 177 17 to to IN cord-017142-vx3rgs4r 177 18 dysfunctional dysfunctional JJ cord-017142-vx3rgs4r 177 19 immunoglobulins immunoglobulin NNS cord-017142-vx3rgs4r 177 20 , , , cord-017142-vx3rgs4r 177 21 defects defect NNS cord-017142-vx3rgs4r 177 22 in in IN cord-017142-vx3rgs4r 177 23 antibody antibody NN cord-017142-vx3rgs4r 177 24 opsonization opsonization NN cord-017142-vx3rgs4r 177 25 , , , cord-017142-vx3rgs4r 177 26 steroid steroid NN cord-017142-vx3rgs4r 177 27 - - HYPH cord-017142-vx3rgs4r 177 28 related relate VBN cord-017142-vx3rgs4r 177 29 T t NN cord-017142-vx3rgs4r 177 30 cell cell NN cord-017142-vx3rgs4r 177 31 defects defect NNS cord-017142-vx3rgs4r 177 32 , , , cord-017142-vx3rgs4r 177 33 secondary secondary JJ cord-017142-vx3rgs4r 177 34 immunodeficiency immunodeficiency NN cord-017142-vx3rgs4r 177 35 related relate VBN cord-017142-vx3rgs4r 177 36 to to IN cord-017142-vx3rgs4r 177 37 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 177 38 , , , cord-017142-vx3rgs4r 177 39 restricted restricted JJ cord-017142-vx3rgs4r 177 40 pulmonary pulmonary JJ cord-017142-vx3rgs4r 177 41 reserve reserve NN cord-017142-vx3rgs4r 177 42 from from IN cord-017142-vx3rgs4r 177 43 thoracic thoracic JJ cord-017142-vx3rgs4r 177 44 rib rib NN cord-017142-vx3rgs4r 177 45 fractures fracture NNS cord-017142-vx3rgs4r 177 46 and and CC cord-017142-vx3rgs4r 177 47 opiate opiate NN cord-017142-vx3rgs4r 177 48 use use NN cord-017142-vx3rgs4r 177 49 , , , cord-017142-vx3rgs4r 177 50 mucosal mucosal JJ cord-017142-vx3rgs4r 177 51 damage damage NN cord-017142-vx3rgs4r 177 52 , , , cord-017142-vx3rgs4r 177 53 indwelling indwell VBG cord-017142-vx3rgs4r 177 54 catheters catheter NNS cord-017142-vx3rgs4r 177 55 , , , cord-017142-vx3rgs4r 177 56 and and CC cord-017142-vx3rgs4r 177 57 presence presence NN cord-017142-vx3rgs4r 177 58 of of IN cord-017142-vx3rgs4r 177 59 renal renal JJ cord-017142-vx3rgs4r 177 60 failure failure NN cord-017142-vx3rgs4r 177 61 [ [ -LRB- cord-017142-vx3rgs4r 177 62 53 53 CD cord-017142-vx3rgs4r 177 63 , , , cord-017142-vx3rgs4r 177 64 88 88 CD cord-017142-vx3rgs4r 177 65 , , , cord-017142-vx3rgs4r 177 66 100 100 CD cord-017142-vx3rgs4r 177 67 ] ] -RRB- cord-017142-vx3rgs4r 177 68 . . . cord-017142-vx3rgs4r 178 1 Bacterial bacterial JJ cord-017142-vx3rgs4r 178 2 infections infection NNS cord-017142-vx3rgs4r 178 3 , , , cord-017142-vx3rgs4r 178 4 especially especially RB cord-017142-vx3rgs4r 178 5 Streptococcus streptococcus NN cord-017142-vx3rgs4r 178 6 pneumoniae pneumoniae NN cord-017142-vx3rgs4r 178 7 , , , cord-017142-vx3rgs4r 178 8 Haemophilus haemophilus JJ cord-017142-vx3rgs4r 178 9 influenzae influenzae NN cord-017142-vx3rgs4r 178 10 , , , cord-017142-vx3rgs4r 178 11 and and CC cord-017142-vx3rgs4r 178 12 Escherichia escherichia NN cord-017142-vx3rgs4r 178 13 coli coli NNS cord-017142-vx3rgs4r 178 14 , , , cord-017142-vx3rgs4r 178 15 tend tend VBP cord-017142-vx3rgs4r 178 16 to to TO cord-017142-vx3rgs4r 178 17 be be VB cord-017142-vx3rgs4r 178 18 the the DT cord-017142-vx3rgs4r 178 19 predominant predominant JJ cord-017142-vx3rgs4r 178 20 organisms organism NNS cord-017142-vx3rgs4r 178 21 causing cause VBG cord-017142-vx3rgs4r 178 22 infection infection NN cord-017142-vx3rgs4r 178 23 at at IN cord-017142-vx3rgs4r 178 24 diagnosis diagnosis NN cord-017142-vx3rgs4r 178 25 , , , cord-017142-vx3rgs4r 178 26 while while IN cord-017142-vx3rgs4r 178 27 Staphylococcus Staphylococcus NNP cord-017142-vx3rgs4r 178 28 aureus aureus NN cord-017142-vx3rgs4r 178 29 and and CC cord-017142-vx3rgs4r 178 30 other other JJ cord-017142-vx3rgs4r 178 31 gram gram NN cord-017142-vx3rgs4r 178 32 - - HYPH cord-017142-vx3rgs4r 178 33 negative negative JJ cord-017142-vx3rgs4r 178 34 infections infection NNS cord-017142-vx3rgs4r 178 35 are be VBP cord-017142-vx3rgs4r 178 36 more more RBR cord-017142-vx3rgs4r 178 37 common common JJ cord-017142-vx3rgs4r 178 38 in in IN cord-017142-vx3rgs4r 178 39 the the DT cord-017142-vx3rgs4r 178 40 relapsed relapse VBN cord-017142-vx3rgs4r 178 41 refractory refractory JJ cord-017142-vx3rgs4r 178 42 setting set VBG cord-017142-vx3rgs4r 178 43 [ [ -LRB- cord-017142-vx3rgs4r 178 44 109 109 CD cord-017142-vx3rgs4r 178 45 , , , cord-017142-vx3rgs4r 178 46 114 114 CD cord-017142-vx3rgs4r 178 47 ] ] -RRB- cord-017142-vx3rgs4r 178 48 . . . cord-017142-vx3rgs4r 179 1 The the DT cord-017142-vx3rgs4r 179 2 use use NN cord-017142-vx3rgs4r 179 3 of of IN cord-017142-vx3rgs4r 179 4 novel novel JJ cord-017142-vx3rgs4r 179 5 drugs drug NNS cord-017142-vx3rgs4r 179 6 combined combine VBN cord-017142-vx3rgs4r 179 7 with with IN cord-017142-vx3rgs4r 179 8 steroids steroid NNS cord-017142-vx3rgs4r 179 9 has have VBZ cord-017142-vx3rgs4r 179 10 increased increase VBN cord-017142-vx3rgs4r 179 11 the the DT cord-017142-vx3rgs4r 179 12 rate rate NN cord-017142-vx3rgs4r 179 13 of of IN cord-017142-vx3rgs4r 179 14 viral viral JJ cord-017142-vx3rgs4r 179 15 and and CC cord-017142-vx3rgs4r 179 16 fungal fungal JJ cord-017142-vx3rgs4r 179 17 infections infection NNS cord-017142-vx3rgs4r 179 18 which which WDT cord-017142-vx3rgs4r 179 19 can can MD cord-017142-vx3rgs4r 179 20 occur occur VB cord-017142-vx3rgs4r 179 21 any any DT cord-017142-vx3rgs4r 179 22 time time NN cord-017142-vx3rgs4r 179 23 during during IN cord-017142-vx3rgs4r 179 24 the the DT cord-017142-vx3rgs4r 179 25 disease disease NN cord-017142-vx3rgs4r 179 26 course course NN cord-017142-vx3rgs4r 179 27 [ [ -LRB- cord-017142-vx3rgs4r 179 28 12 12 CD cord-017142-vx3rgs4r 179 29 , , , cord-017142-vx3rgs4r 179 30 58 58 CD cord-017142-vx3rgs4r 179 31 , , , cord-017142-vx3rgs4r 179 32 91 91 CD cord-017142-vx3rgs4r 179 33 ] ] -RRB- cord-017142-vx3rgs4r 179 34 . . . cord-017142-vx3rgs4r 180 1 Viral viral JJ cord-017142-vx3rgs4r 180 2 infections infection NNS cord-017142-vx3rgs4r 180 3 , , , cord-017142-vx3rgs4r 180 4 especially especially RB cord-017142-vx3rgs4r 180 5 herpes herpes NN cord-017142-vx3rgs4r 180 6 simplex simplex NNP cord-017142-vx3rgs4r 180 7 virus virus NN cord-017142-vx3rgs4r 180 8 ( ( -LRB- cord-017142-vx3rgs4r 180 9 HSV HSV NNP cord-017142-vx3rgs4r 180 10 ) ) -RRB- cord-017142-vx3rgs4r 180 11 and and CC cord-017142-vx3rgs4r 180 12 varicella varicella NN cord-017142-vx3rgs4r 180 13 - - HYPH cord-017142-vx3rgs4r 180 14 zoster zoster NN cord-017142-vx3rgs4r 180 15 virus virus NN cord-017142-vx3rgs4r 180 16 ( ( -LRB- cord-017142-vx3rgs4r 180 17 VZV VZV NNP cord-017142-vx3rgs4r 180 18 ) ) -RRB- cord-017142-vx3rgs4r 180 19 , , , cord-017142-vx3rgs4r 180 20 have have VBP cord-017142-vx3rgs4r 180 21 increased increase VBN cord-017142-vx3rgs4r 180 22 in in IN cord-017142-vx3rgs4r 180 23 incidence incidence NN cord-017142-vx3rgs4r 180 24 with with IN cord-017142-vx3rgs4r 180 25 the the DT cord-017142-vx3rgs4r 180 26 introduction introduction NN cord-017142-vx3rgs4r 180 27 of of IN cord-017142-vx3rgs4r 180 28 proteasome proteasome NN cord-017142-vx3rgs4r 180 29 inhibitors inhibitor NNS cord-017142-vx3rgs4r 180 30 such such JJ cord-017142-vx3rgs4r 180 31 as as IN cord-017142-vx3rgs4r 180 32 bortezomib bortezomib NNP cord-017142-vx3rgs4r 180 33 . . . cord-017142-vx3rgs4r 181 1 Viral viral JJ cord-017142-vx3rgs4r 181 2 prophylaxis prophylaxis NN cord-017142-vx3rgs4r 181 3 with with IN cord-017142-vx3rgs4r 181 4 acyclovir acyclovir NNP cord-017142-vx3rgs4r 181 5 or or CC cord-017142-vx3rgs4r 181 6 valacyclovir valacyclovir NNP cord-017142-vx3rgs4r 181 7 is be VBZ cord-017142-vx3rgs4r 181 8 recommended recommend VBN cord-017142-vx3rgs4r 181 9 in in IN cord-017142-vx3rgs4r 181 10 all all DT cord-017142-vx3rgs4r 181 11 patients patient NNS cord-017142-vx3rgs4r 181 12 undergoing undergo VBG cord-017142-vx3rgs4r 181 13 therapy therapy NN cord-017142-vx3rgs4r 181 14 with with IN cord-017142-vx3rgs4r 181 15 proteasome proteasome NN cord-017142-vx3rgs4r 181 16 inhibitors inhibitor NNS cord-017142-vx3rgs4r 181 17 or or CC cord-017142-vx3rgs4r 181 18 monoclonal monoclonal JJ cord-017142-vx3rgs4r 181 19 antibodies antibody NNS cord-017142-vx3rgs4r 181 20 . . . cord-017142-vx3rgs4r 182 1 Although although IN cord-017142-vx3rgs4r 182 2 invasive invasive JJ cord-017142-vx3rgs4r 182 3 fungal fungal NN cord-017142-vx3rgs4r 182 4 infection infection NN cord-017142-vx3rgs4r 182 5 ( ( -LRB- cord-017142-vx3rgs4r 182 6 approximately approximately RB cord-017142-vx3rgs4r 182 7 2 2 CD cord-017142-vx3rgs4r 182 8 - - SYM cord-017142-vx3rgs4r 182 9 3 3 CD cord-017142-vx3rgs4r 182 10 % % NN cord-017142-vx3rgs4r 182 11 ) ) -RRB- cord-017142-vx3rgs4r 182 12 incidence incidence NN cord-017142-vx3rgs4r 182 13 is be VBZ cord-017142-vx3rgs4r 182 14 low low JJ cord-017142-vx3rgs4r 182 15 , , , cord-017142-vx3rgs4r 182 16 the the DT cord-017142-vx3rgs4r 182 17 mortality mortality NN cord-017142-vx3rgs4r 182 18 rate rate NN cord-017142-vx3rgs4r 182 19 is be VBZ cord-017142-vx3rgs4r 182 20 high high JJ cord-017142-vx3rgs4r 182 21 with with IN cord-017142-vx3rgs4r 182 22 approximately approximately RB cord-017142-vx3rgs4r 182 23 60 60 CD cord-017142-vx3rgs4r 182 24 % % NN cord-017142-vx3rgs4r 182 25 of of IN cord-017142-vx3rgs4r 182 26 patients patient NNS cord-017142-vx3rgs4r 182 27 requiring require VBG cord-017142-vx3rgs4r 182 28 ICU ICU NNP cord-017142-vx3rgs4r 182 29 management management NN cord-017142-vx3rgs4r 182 30 . . . cord-017142-vx3rgs4r 183 1 The the DT cord-017142-vx3rgs4r 183 2 introduction introduction NN cord-017142-vx3rgs4r 183 3 of of IN cord-017142-vx3rgs4r 183 4 novel novel JJ cord-017142-vx3rgs4r 183 5 agents agent NNS cord-017142-vx3rgs4r 183 6 tends tend VBZ cord-017142-vx3rgs4r 183 7 to to TO cord-017142-vx3rgs4r 183 8 be be VB cord-017142-vx3rgs4r 183 9 associated associate VBN cord-017142-vx3rgs4r 183 10 with with IN cord-017142-vx3rgs4r 183 11 later later JJ cord-017142-vx3rgs4r 183 12 - - HYPH cord-017142-vx3rgs4r 183 13 onset onset NN cord-017142-vx3rgs4r 183 14 invasive invasive JJ cord-017142-vx3rgs4r 183 15 fungal fungal JJ cord-017142-vx3rgs4r 183 16 infections infection NNS cord-017142-vx3rgs4r 183 17 compared compare VBN cord-017142-vx3rgs4r 183 18 to to IN cord-017142-vx3rgs4r 183 19 studies study NNS cord-017142-vx3rgs4r 183 20 from from IN cord-017142-vx3rgs4r 183 21 the the DT cord-017142-vx3rgs4r 183 22 conventional conventional JJ cord-017142-vx3rgs4r 183 23 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 183 24 era era NN cord-017142-vx3rgs4r 183 25 where where WRB cord-017142-vx3rgs4r 183 26 an an DT cord-017142-vx3rgs4r 183 27 earlier early JJR cord-017142-vx3rgs4r 183 28 onset onset NN cord-017142-vx3rgs4r 183 29 was be VBD cord-017142-vx3rgs4r 183 30 noted note VBN cord-017142-vx3rgs4r 183 31 [ [ -LRB- cord-017142-vx3rgs4r 183 32 122 122 CD cord-017142-vx3rgs4r 183 33 ] ] -RRB- cord-017142-vx3rgs4r 183 34 . . . cord-017142-vx3rgs4r 184 1 Furthermore furthermore RB cord-017142-vx3rgs4r 184 2 the the DT cord-017142-vx3rgs4r 184 3 use use NN cord-017142-vx3rgs4r 184 4 of of IN cord-017142-vx3rgs4r 184 5 long long JJ cord-017142-vx3rgs4r 184 6 - - HYPH cord-017142-vx3rgs4r 184 7 term term NN cord-017142-vx3rgs4r 184 8 and and CC cord-017142-vx3rgs4r 184 9 high high JJ cord-017142-vx3rgs4r 184 10 - - HYPH cord-017142-vx3rgs4r 184 11 dose dose NN cord-017142-vx3rgs4r 184 12 dexamethasone dexamethasone NN cord-017142-vx3rgs4r 184 13 can can MD cord-017142-vx3rgs4r 184 14 cause cause VB cord-017142-vx3rgs4r 184 15 persistent persistent JJ cord-017142-vx3rgs4r 184 16 defect defect NN cord-017142-vx3rgs4r 184 17 in in IN cord-017142-vx3rgs4r 184 18 T T NNP cord-017142-vx3rgs4r 184 19 cell cell NN cord-017142-vx3rgs4r 184 20 - - HYPH cord-017142-vx3rgs4r 184 21 mediated mediate VBN cord-017142-vx3rgs4r 184 22 immunity immunity NN cord-017142-vx3rgs4r 184 23 which which WDT cord-017142-vx3rgs4r 184 24 predisposes predispose VBZ cord-017142-vx3rgs4r 184 25 patients patient NNS cord-017142-vx3rgs4r 184 26 to to IN cord-017142-vx3rgs4r 184 27 mucosal mucosal JJ cord-017142-vx3rgs4r 184 28 candidiasis candidiasi NNS cord-017142-vx3rgs4r 184 29 , , , cord-017142-vx3rgs4r 184 30 P. P. NNP cord-017142-vx3rgs4r 184 31 jirovecii jirovecii NNP cord-017142-vx3rgs4r 184 32 , , , cord-017142-vx3rgs4r 184 33 HSV HSV NNP cord-017142-vx3rgs4r 184 34 , , , cord-017142-vx3rgs4r 184 35 and and CC cord-017142-vx3rgs4r 184 36 VZV VZV NNP cord-017142-vx3rgs4r 184 37 infections infection NNS cord-017142-vx3rgs4r 184 38 . . . cord-017142-vx3rgs4r 185 1 Following follow VBG cord-017142-vx3rgs4r 185 2 sepsis sepsis NN cord-017142-vx3rgs4r 185 3 guidelines guideline NNS cord-017142-vx3rgs4r 185 4 with with IN cord-017142-vx3rgs4r 185 5 aggressive aggressive JJ cord-017142-vx3rgs4r 185 6 fluid fluid JJ cord-017142-vx3rgs4r 185 7 resuscitation resuscitation NN cord-017142-vx3rgs4r 185 8 and and CC cord-017142-vx3rgs4r 185 9 broad broad JJ cord-017142-vx3rgs4r 185 10 - - HYPH cord-017142-vx3rgs4r 185 11 spectrum spectrum NN cord-017142-vx3rgs4r 185 12 antibiotic antibiotic JJ cord-017142-vx3rgs4r 185 13 coverage coverage NN cord-017142-vx3rgs4r 185 14 as as RB cord-017142-vx3rgs4r 185 15 well well RB cord-017142-vx3rgs4r 185 16 as as IN cord-017142-vx3rgs4r 185 17 growth growth NN cord-017142-vx3rgs4r 185 18 factor factor NN cord-017142-vx3rgs4r 185 19 support support NN cord-017142-vx3rgs4r 185 20 if if IN cord-017142-vx3rgs4r 185 21 neutropenic neutropenic JJ cord-017142-vx3rgs4r 185 22 is be VBZ cord-017142-vx3rgs4r 185 23 warranted warrant VBN cord-017142-vx3rgs4r 185 24 in in IN cord-017142-vx3rgs4r 185 25 a a DT cord-017142-vx3rgs4r 185 26 patient patient NN cord-017142-vx3rgs4r 185 27 presenting present VBG cord-017142-vx3rgs4r 185 28 with with IN cord-017142-vx3rgs4r 185 29 suspected suspect VBN cord-017142-vx3rgs4r 185 30 sepsis sepsis NN cord-017142-vx3rgs4r 185 31 / / SYM cord-017142-vx3rgs4r 185 32 infection infection NN cord-017142-vx3rgs4r 185 33 . . . cord-017142-vx3rgs4r 186 1 In in IN cord-017142-vx3rgs4r 186 2 case case NN cord-017142-vx3rgs4r 186 3 of of IN cord-017142-vx3rgs4r 186 4 clinical clinical JJ cord-017142-vx3rgs4r 186 5 deterioration deterioration NN cord-017142-vx3rgs4r 186 6 with with IN cord-017142-vx3rgs4r 186 7 unclear unclear JJ cord-017142-vx3rgs4r 186 8 source source NN cord-017142-vx3rgs4r 186 9 of of IN cord-017142-vx3rgs4r 186 10 infection infection NN cord-017142-vx3rgs4r 186 11 , , , cord-017142-vx3rgs4r 186 12 persistent persistent JJ cord-017142-vx3rgs4r 186 13 febrile febrile JJ cord-017142-vx3rgs4r 186 14 neutropenia neutropenia NN cord-017142-vx3rgs4r 186 15 , , , cord-017142-vx3rgs4r 186 16 or or CC cord-017142-vx3rgs4r 186 17 hemodynamic hemodynamic JJ cord-017142-vx3rgs4r 186 18 compromise compromise NN cord-017142-vx3rgs4r 186 19 , , , cord-017142-vx3rgs4r 186 20 consider consider VB cord-017142-vx3rgs4r 186 21 computer computer NN cord-017142-vx3rgs4r 186 22 tomography tomography NN cord-017142-vx3rgs4r 186 23 ( ( -LRB- cord-017142-vx3rgs4r 186 24 CT CT NNP cord-017142-vx3rgs4r 186 25 ) ) -RRB- cord-017142-vx3rgs4r 186 26 scan scan VBP cord-017142-vx3rgs4r 186 27 including include VBG cord-017142-vx3rgs4r 186 28 sinus sinus NN cord-017142-vx3rgs4r 186 29 imaging imaging NN cord-017142-vx3rgs4r 186 30 . . . cord-017142-vx3rgs4r 187 1 Other other JJ cord-017142-vx3rgs4r 187 2 investigative investigative JJ cord-017142-vx3rgs4r 187 3 modalities modality NNS cord-017142-vx3rgs4r 187 4 for for IN cord-017142-vx3rgs4r 187 5 diagnosis diagnosis NN cord-017142-vx3rgs4r 187 6 should should MD cord-017142-vx3rgs4r 187 7 include include VB cord-017142-vx3rgs4r 187 8 bronchoscopy bronchoscopy NN cord-017142-vx3rgs4r 187 9 / / SYM cord-017142-vx3rgs4r 187 10 BAL bal NN cord-017142-vx3rgs4r 187 11 with with IN cord-017142-vx3rgs4r 187 12 microscopy microscopy NNS cord-017142-vx3rgs4r 187 13 and and CC cord-017142-vx3rgs4r 187 14 bacteria bacteria NNS cord-017142-vx3rgs4r 187 15 , , , cord-017142-vx3rgs4r 187 16 viral viral JJ cord-017142-vx3rgs4r 187 17 , , , cord-017142-vx3rgs4r 187 18 and and CC cord-017142-vx3rgs4r 187 19 fungal fungal JJ cord-017142-vx3rgs4r 187 20 culture culture NN cord-017142-vx3rgs4r 187 21 . . . cord-017142-vx3rgs4r 188 1 In in IN cord-017142-vx3rgs4r 188 2 suspected suspect VBN cord-017142-vx3rgs4r 188 3 cases case NNS cord-017142-vx3rgs4r 188 4 of of IN cord-017142-vx3rgs4r 188 5 fungal fungal JJ cord-017142-vx3rgs4r 188 6 infection infection NN cord-017142-vx3rgs4r 188 7 , , , cord-017142-vx3rgs4r 188 8 Aspergillus Aspergillus NNP cord-017142-vx3rgs4r 188 9 PCR PCR NNP cord-017142-vx3rgs4r 188 10 and and CC cord-017142-vx3rgs4r 188 11 galactomannan galactomannan NNP cord-017142-vx3rgs4r 188 12 testing testing NN cord-017142-vx3rgs4r 188 13 on on IN cord-017142-vx3rgs4r 188 14 serum serum NN cord-017142-vx3rgs4r 188 15 and and CC cord-017142-vx3rgs4r 188 16 BAL bal NN cord-017142-vx3rgs4r 188 17 should should MD cord-017142-vx3rgs4r 188 18 be be VB cord-017142-vx3rgs4r 188 19 performed perform VBN cord-017142-vx3rgs4r 188 20 . . . cord-017142-vx3rgs4r 189 1 Due due IN cord-017142-vx3rgs4r 189 2 to to IN cord-017142-vx3rgs4r 189 3 concomitant concomitant JJ cord-017142-vx3rgs4r 189 4 immunodeficiency immunodeficiency NN cord-017142-vx3rgs4r 189 5 , , , cord-017142-vx3rgs4r 189 6 treatment treatment NN cord-017142-vx3rgs4r 189 7 with with IN cord-017142-vx3rgs4r 189 8 intravenous intravenous JJ cord-017142-vx3rgs4r 189 9 immunoglobulins immunoglobulin NNS cord-017142-vx3rgs4r 189 10 is be VBZ cord-017142-vx3rgs4r 189 11 considered consider VBN cord-017142-vx3rgs4r 189 12 in in IN cord-017142-vx3rgs4r 189 13 patients patient NNS cord-017142-vx3rgs4r 189 14 with with IN cord-017142-vx3rgs4r 189 15 recurrent recurrent JJ cord-017142-vx3rgs4r 189 16 bacterial bacterial JJ cord-017142-vx3rgs4r 189 17 or or CC cord-017142-vx3rgs4r 189 18 viral viral JJ cord-017142-vx3rgs4r 189 19 infections infection NNS cord-017142-vx3rgs4r 189 20 ; ; : cord-017142-vx3rgs4r 189 21 however however RB cord-017142-vx3rgs4r 189 22 its -PRON- PRP$ cord-017142-vx3rgs4r 189 23 role role NN cord-017142-vx3rgs4r 189 24 in in IN cord-017142-vx3rgs4r 189 25 treating treat VBG cord-017142-vx3rgs4r 189 26 an an DT cord-017142-vx3rgs4r 189 27 acute acute JJ cord-017142-vx3rgs4r 189 28 infection infection NN cord-017142-vx3rgs4r 189 29 is be VBZ cord-017142-vx3rgs4r 189 30 limited limit VBN cord-017142-vx3rgs4r 189 31 . . . cord-017142-vx3rgs4r 190 1 Direct direct JJ cord-017142-vx3rgs4r 190 2 involvement involvement NN cord-017142-vx3rgs4r 190 3 of of IN cord-017142-vx3rgs4r 190 4 pulmonary pulmonary JJ cord-017142-vx3rgs4r 190 5 parenchyma parenchyma NN cord-017142-vx3rgs4r 190 6 in in IN cord-017142-vx3rgs4r 190 7 MM MM NNP cord-017142-vx3rgs4r 190 8 is be VBZ cord-017142-vx3rgs4r 190 9 extremely extremely RB cord-017142-vx3rgs4r 190 10 rare rare JJ cord-017142-vx3rgs4r 190 11 . . . cord-017142-vx3rgs4r 191 1 Pulmonary pulmonary JJ cord-017142-vx3rgs4r 191 2 complications complication NNS cord-017142-vx3rgs4r 191 3 can can MD cord-017142-vx3rgs4r 191 4 arise arise VB cord-017142-vx3rgs4r 191 5 from from IN cord-017142-vx3rgs4r 191 6 a a DT cord-017142-vx3rgs4r 191 7 broad broad JJ cord-017142-vx3rgs4r 191 8 range range NN cord-017142-vx3rgs4r 191 9 of of IN cord-017142-vx3rgs4r 191 10 different different JJ cord-017142-vx3rgs4r 191 11 mechanisms mechanism NNS cord-017142-vx3rgs4r 191 12 both both CC cord-017142-vx3rgs4r 191 13 infectious infectious JJ cord-017142-vx3rgs4r 191 14 and and CC cord-017142-vx3rgs4r 191 15 noninfectious noninfectious JJ cord-017142-vx3rgs4r 191 16 . . . cord-017142-vx3rgs4r 192 1 In in IN cord-017142-vx3rgs4r 192 2 majority majority NN cord-017142-vx3rgs4r 192 3 of of IN cord-017142-vx3rgs4r 192 4 the the DT cord-017142-vx3rgs4r 192 5 cases case NNS cord-017142-vx3rgs4r 192 6 presenting present VBG cord-017142-vx3rgs4r 192 7 with with IN cord-017142-vx3rgs4r 192 8 respiratory respiratory JJ cord-017142-vx3rgs4r 192 9 failure failure NN cord-017142-vx3rgs4r 192 10 , , , cord-017142-vx3rgs4r 192 11 the the DT cord-017142-vx3rgs4r 192 12 etiology etiology NN cord-017142-vx3rgs4r 192 13 is be VBZ cord-017142-vx3rgs4r 192 14 infectious infectious JJ cord-017142-vx3rgs4r 192 15 . . . cord-017142-vx3rgs4r 193 1 Patients patient NNS cord-017142-vx3rgs4r 193 2 with with IN cord-017142-vx3rgs4r 193 3 myeloma myeloma NN cord-017142-vx3rgs4r 193 4 can can MD cord-017142-vx3rgs4r 193 5 present present VB cord-017142-vx3rgs4r 193 6 with with IN cord-017142-vx3rgs4r 193 7 lung lung NN cord-017142-vx3rgs4r 193 8 infiltrates infiltrate NNS cord-017142-vx3rgs4r 193 9 , , , cord-017142-vx3rgs4r 193 10 ground ground NN cord-017142-vx3rgs4r 193 11 glass glass NN cord-017142-vx3rgs4r 193 12 opacities opacity NNS cord-017142-vx3rgs4r 193 13 , , , cord-017142-vx3rgs4r 193 14 nodules nodule NNS cord-017142-vx3rgs4r 193 15 , , , cord-017142-vx3rgs4r 193 16 masses masse NNS cord-017142-vx3rgs4r 193 17 , , , cord-017142-vx3rgs4r 193 18 effusion effusion NN cord-017142-vx3rgs4r 193 19 , , , cord-017142-vx3rgs4r 193 20 and and CC cord-017142-vx3rgs4r 193 21 lymphadenopathy lymphadenopathy JJ cord-017142-vx3rgs4r 193 22 . . . cord-017142-vx3rgs4r 194 1 Noninfectious noninfectious JJ cord-017142-vx3rgs4r 194 2 causes cause NNS cord-017142-vx3rgs4r 194 3 that that WDT cord-017142-vx3rgs4r 194 4 need need VBP cord-017142-vx3rgs4r 194 5 to to TO cord-017142-vx3rgs4r 194 6 be be VB cord-017142-vx3rgs4r 194 7 ruled rule VBN cord-017142-vx3rgs4r 194 8 out out RP cord-017142-vx3rgs4r 194 9 include include VBP cord-017142-vx3rgs4r 194 10 congestive congestive JJ cord-017142-vx3rgs4r 194 11 heart heart NN cord-017142-vx3rgs4r 194 12 failure failure NN cord-017142-vx3rgs4r 194 13 , , , cord-017142-vx3rgs4r 194 14 pulmonary pulmonary JJ cord-017142-vx3rgs4r 194 15 embolism embolism NN cord-017142-vx3rgs4r 194 16 , , , cord-017142-vx3rgs4r 194 17 pulmonary pulmonary JJ cord-017142-vx3rgs4r 194 18 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 194 19 , , , cord-017142-vx3rgs4r 194 20 and and CC cord-017142-vx3rgs4r 194 21 drug drug NN cord-017142-vx3rgs4r 194 22 - - HYPH cord-017142-vx3rgs4r 194 23 induced induce VBN cord-017142-vx3rgs4r 194 24 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 194 25 . . . cord-017142-vx3rgs4r 195 1 Myeloma myeloma NN cord-017142-vx3rgs4r 195 2 lung lung NN cord-017142-vx3rgs4r 195 3 : : : cord-017142-vx3rgs4r 196 1 Case case NN cord-017142-vx3rgs4r 196 2 reports report NNS cord-017142-vx3rgs4r 196 3 and and CC cord-017142-vx3rgs4r 196 4 case case NN cord-017142-vx3rgs4r 196 5 series serie NNS cord-017142-vx3rgs4r 196 6 describe describe VBP cord-017142-vx3rgs4r 196 7 the the DT cord-017142-vx3rgs4r 196 8 various various JJ cord-017142-vx3rgs4r 196 9 ways way NNS cord-017142-vx3rgs4r 196 10 MM MM NNP cord-017142-vx3rgs4r 196 11 can can MD cord-017142-vx3rgs4r 196 12 involve involve VB cord-017142-vx3rgs4r 196 13 the the DT cord-017142-vx3rgs4r 196 14 lung lung NN cord-017142-vx3rgs4r 196 15 . . . cord-017142-vx3rgs4r 197 1 Presentation presentation NN cord-017142-vx3rgs4r 197 2 of of IN cord-017142-vx3rgs4r 197 3 lung lung NN cord-017142-vx3rgs4r 197 4 disease disease NN cord-017142-vx3rgs4r 197 5 is be VBZ cord-017142-vx3rgs4r 197 6 variable variable JJ cord-017142-vx3rgs4r 197 7 and and CC cord-017142-vx3rgs4r 197 8 includes include VBZ cord-017142-vx3rgs4r 197 9 consolidative consolidative JJ cord-017142-vx3rgs4r 197 10 or or CC cord-017142-vx3rgs4r 197 11 interstitial interstitial JJ cord-017142-vx3rgs4r 197 12 pattern pattern NN cord-017142-vx3rgs4r 197 13 infiltrates infiltrate VBZ cord-017142-vx3rgs4r 197 14 on on IN cord-017142-vx3rgs4r 197 15 imaging image VBG cord-017142-vx3rgs4r 197 16 , , , cord-017142-vx3rgs4r 197 17 intraparenchymal intraparenchymal NNP cord-017142-vx3rgs4r 197 18 plasmacytomas plasmacytomas NNP cord-017142-vx3rgs4r 197 19 , , , cord-017142-vx3rgs4r 197 20 intrapulmonary intrapulmonary JJ cord-017142-vx3rgs4r 197 21 calcifications calcification NNS cord-017142-vx3rgs4r 197 22 , , , cord-017142-vx3rgs4r 197 23 or or CC cord-017142-vx3rgs4r 197 24 pleural pleural JJ cord-017142-vx3rgs4r 197 25 effusions effusion NNS cord-017142-vx3rgs4r 197 26 [ [ -LRB- cord-017142-vx3rgs4r 197 27 60 60 CD cord-017142-vx3rgs4r 197 28 , , , cord-017142-vx3rgs4r 197 29 73 73 CD cord-017142-vx3rgs4r 197 30 , , , cord-017142-vx3rgs4r 197 31 139 139 CD cord-017142-vx3rgs4r 197 32 ] ] -RRB- cord-017142-vx3rgs4r 197 33 . . . cord-017142-vx3rgs4r 198 1 Presentations presentation NNS cord-017142-vx3rgs4r 198 2 similar similar JJ cord-017142-vx3rgs4r 198 3 to to IN cord-017142-vx3rgs4r 198 4 ARDS ARDS NNP cord-017142-vx3rgs4r 198 5 have have VBP cord-017142-vx3rgs4r 198 6 also also RB cord-017142-vx3rgs4r 198 7 been be VBN cord-017142-vx3rgs4r 198 8 reported report VBN cord-017142-vx3rgs4r 198 9 [ [ -LRB- cord-017142-vx3rgs4r 198 10 40 40 CD cord-017142-vx3rgs4r 198 11 , , , cord-017142-vx3rgs4r 198 12 80 80 CD cord-017142-vx3rgs4r 198 13 , , , cord-017142-vx3rgs4r 198 14 99 99 CD cord-017142-vx3rgs4r 198 15 , , , cord-017142-vx3rgs4r 198 16 106 106 CD cord-017142-vx3rgs4r 198 17 , , , cord-017142-vx3rgs4r 198 18 134 134 CD cord-017142-vx3rgs4r 198 19 ] ] -RRB- cord-017142-vx3rgs4r 198 20 . . . cord-017142-vx3rgs4r 199 1 A a DT cord-017142-vx3rgs4r 199 2 high high JJ cord-017142-vx3rgs4r 199 3 index index NN cord-017142-vx3rgs4r 199 4 of of IN cord-017142-vx3rgs4r 199 5 suspicion suspicion NN cord-017142-vx3rgs4r 199 6 is be VBZ cord-017142-vx3rgs4r 199 7 required require VBN cord-017142-vx3rgs4r 199 8 as as IN cord-017142-vx3rgs4r 199 9 there there EX cord-017142-vx3rgs4r 199 10 is be VBZ cord-017142-vx3rgs4r 199 11 a a DT cord-017142-vx3rgs4r 199 12 broad broad JJ cord-017142-vx3rgs4r 199 13 differential differential NN cord-017142-vx3rgs4r 199 14 of of IN cord-017142-vx3rgs4r 199 15 diagnoses diagnosis NNS cord-017142-vx3rgs4r 199 16 with with IN cord-017142-vx3rgs4r 199 17 similar similar JJ cord-017142-vx3rgs4r 199 18 radiographic radiographic JJ cord-017142-vx3rgs4r 199 19 findings finding NNS cord-017142-vx3rgs4r 199 20 . . . cord-017142-vx3rgs4r 200 1 Patients patient NNS cord-017142-vx3rgs4r 200 2 with with IN cord-017142-vx3rgs4r 200 3 extramedullary extramedullary JJ cord-017142-vx3rgs4r 200 4 MM MM NNP cord-017142-vx3rgs4r 200 5 tend tend VBP cord-017142-vx3rgs4r 200 6 to to TO cord-017142-vx3rgs4r 200 7 have have VB cord-017142-vx3rgs4r 200 8 more more RBR cord-017142-vx3rgs4r 200 9 aggressive aggressive JJ cord-017142-vx3rgs4r 200 10 disease disease NN cord-017142-vx3rgs4r 200 11 and and CC cord-017142-vx3rgs4r 200 12 can can MD cord-017142-vx3rgs4r 200 13 deteriorate deteriorate VB cord-017142-vx3rgs4r 200 14 rapidly rapidly RB cord-017142-vx3rgs4r 200 15 due due IN cord-017142-vx3rgs4r 200 16 to to IN cord-017142-vx3rgs4r 200 17 disease disease NN cord-017142-vx3rgs4r 200 18 progression progression NN cord-017142-vx3rgs4r 200 19 if if IN cord-017142-vx3rgs4r 200 20 not not RB cord-017142-vx3rgs4r 200 21 recognized recognize VBN cord-017142-vx3rgs4r 200 22 and and CC cord-017142-vx3rgs4r 200 23 treated treat VBN cord-017142-vx3rgs4r 200 24 early early RB cord-017142-vx3rgs4r 200 25 . . . cord-017142-vx3rgs4r 201 1 If if IN cord-017142-vx3rgs4r 201 2 there there EX cord-017142-vx3rgs4r 201 3 is be VBZ cord-017142-vx3rgs4r 201 4 evidence evidence NN cord-017142-vx3rgs4r 201 5 of of IN cord-017142-vx3rgs4r 201 6 MM MM NNP cord-017142-vx3rgs4r 201 7 progression progression NN cord-017142-vx3rgs4r 201 8 on on IN cord-017142-vx3rgs4r 201 9 blood blood NN cord-017142-vx3rgs4r 201 10 tests test NNS cord-017142-vx3rgs4r 201 11 or or CC cord-017142-vx3rgs4r 201 12 bone bone NN cord-017142-vx3rgs4r 201 13 marrow marrow NN cord-017142-vx3rgs4r 201 14 , , , cord-017142-vx3rgs4r 201 15 a a DT cord-017142-vx3rgs4r 201 16 biopsy biopsy NN cord-017142-vx3rgs4r 201 17 ( ( -LRB- cord-017142-vx3rgs4r 201 18 surgical surgical JJ cord-017142-vx3rgs4r 201 19 , , , cord-017142-vx3rgs4r 201 20 transbronchial transbronchial NN cord-017142-vx3rgs4r 201 21 ) ) -RRB- cord-017142-vx3rgs4r 201 22 or or CC cord-017142-vx3rgs4r 201 23 bronchoscopy bronchoscopy VB cord-017142-vx3rgs4r 201 24 with with IN cord-017142-vx3rgs4r 201 25 aspiration aspiration NN cord-017142-vx3rgs4r 201 26 and/or and/or CC cord-017142-vx3rgs4r 201 27 bronchoalveolar bronchoalveolar NNP cord-017142-vx3rgs4r 201 28 lavage lavage NNP cord-017142-vx3rgs4r 201 29 ( ( -LRB- cord-017142-vx3rgs4r 201 30 BAL BAL NNP cord-017142-vx3rgs4r 201 31 ) ) -RRB- cord-017142-vx3rgs4r 201 32 should should MD cord-017142-vx3rgs4r 201 33 be be VB cord-017142-vx3rgs4r 201 34 strongly strongly RB cord-017142-vx3rgs4r 201 35 considered consider VBN cord-017142-vx3rgs4r 201 36 with with IN cord-017142-vx3rgs4r 201 37 microbiologic microbiologic NNP cord-017142-vx3rgs4r 201 38 and and CC cord-017142-vx3rgs4r 201 39 flow flow NN cord-017142-vx3rgs4r 201 40 cytometric cytometric NNP cord-017142-vx3rgs4r 201 41 analysis analysis NN cord-017142-vx3rgs4r 201 42 . . . cord-017142-vx3rgs4r 202 1 Once once IN cord-017142-vx3rgs4r 202 2 infection infection NN cord-017142-vx3rgs4r 202 3 is be VBZ cord-017142-vx3rgs4r 202 4 excluded exclude VBN cord-017142-vx3rgs4r 202 5 and and CC cord-017142-vx3rgs4r 202 6 evidence evidence NN cord-017142-vx3rgs4r 202 7 of of IN cord-017142-vx3rgs4r 202 8 progression progression NN cord-017142-vx3rgs4r 202 9 is be VBZ cord-017142-vx3rgs4r 202 10 confirmed confirm VBN cord-017142-vx3rgs4r 202 11 , , , cord-017142-vx3rgs4r 202 12 prompt prompt JJ cord-017142-vx3rgs4r 202 13 initiation initiation NN cord-017142-vx3rgs4r 202 14 of of IN cord-017142-vx3rgs4r 202 15 MM MM NNP cord-017142-vx3rgs4r 202 16 directed direct VBN cord-017142-vx3rgs4r 202 17 therapy therapy NN cord-017142-vx3rgs4r 202 18 is be VBZ cord-017142-vx3rgs4r 202 19 warranted warrant VBN cord-017142-vx3rgs4r 202 20 [ [ -LRB- cord-017142-vx3rgs4r 202 21 62 62 CD cord-017142-vx3rgs4r 202 22 ] ] -RRB- cord-017142-vx3rgs4r 202 23 . . . cord-017142-vx3rgs4r 203 1 Diffuse diffuse JJ cord-017142-vx3rgs4r 203 2 alveolar alveolar NN cord-017142-vx3rgs4r 203 3 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 203 4 : : : cord-017142-vx3rgs4r 204 1 In in IN cord-017142-vx3rgs4r 204 2 patients patient NNS cord-017142-vx3rgs4r 204 3 presenting present VBG cord-017142-vx3rgs4r 204 4 with with IN cord-017142-vx3rgs4r 204 5 acute acute JJ cord-017142-vx3rgs4r 204 6 onset onset NN cord-017142-vx3rgs4r 204 7 hypoxia hypoxia NN cord-017142-vx3rgs4r 204 8 , , , cord-017142-vx3rgs4r 204 9 pulmonary pulmonary JJ cord-017142-vx3rgs4r 204 10 opacities opacity NNS cord-017142-vx3rgs4r 204 11 , , , cord-017142-vx3rgs4r 204 12 and and CC cord-017142-vx3rgs4r 204 13 fevers fever NNS cord-017142-vx3rgs4r 204 14 , , , cord-017142-vx3rgs4r 204 15 especially especially RB cord-017142-vx3rgs4r 204 16 in in IN cord-017142-vx3rgs4r 204 17 the the DT cord-017142-vx3rgs4r 204 18 setting setting NN cord-017142-vx3rgs4r 204 19 of of IN cord-017142-vx3rgs4r 204 20 thrombocytopenia thrombocytopenia NN cord-017142-vx3rgs4r 204 21 and and CC cord-017142-vx3rgs4r 204 22 anemia anemia NN cord-017142-vx3rgs4r 204 23 , , , cord-017142-vx3rgs4r 204 24 pulmonary pulmonary JJ cord-017142-vx3rgs4r 204 25 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 204 26 is be VBZ cord-017142-vx3rgs4r 204 27 a a DT cord-017142-vx3rgs4r 204 28 possibility possibility NN cord-017142-vx3rgs4r 204 29 . . . cord-017142-vx3rgs4r 205 1 Diffuse diffuse JJ cord-017142-vx3rgs4r 205 2 alveolar alveolar NN cord-017142-vx3rgs4r 205 3 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 206 1 ( ( -LRB- cord-017142-vx3rgs4r 206 2 DAH DAH NNP cord-017142-vx3rgs4r 206 3 ) ) -RRB- cord-017142-vx3rgs4r 206 4 has have VBZ cord-017142-vx3rgs4r 206 5 been be VBN cord-017142-vx3rgs4r 206 6 rarely rarely RB cord-017142-vx3rgs4r 206 7 reported report VBN cord-017142-vx3rgs4r 206 8 in in IN cord-017142-vx3rgs4r 206 9 MM MM NNP cord-017142-vx3rgs4r 206 10 patients patient NNS cord-017142-vx3rgs4r 206 11 , , , cord-017142-vx3rgs4r 206 12 but but CC cord-017142-vx3rgs4r 206 13 there there EX cord-017142-vx3rgs4r 206 14 have have VBP cord-017142-vx3rgs4r 206 15 been be VBN cord-017142-vx3rgs4r 206 16 cases case NNS cord-017142-vx3rgs4r 206 17 associated associate VBN cord-017142-vx3rgs4r 206 18 with with IN cord-017142-vx3rgs4r 206 19 bortezomib bortezomib NNP cord-017142-vx3rgs4r 206 20 and and CC cord-017142-vx3rgs4r 206 21 in in IN cord-017142-vx3rgs4r 206 22 the the DT cord-017142-vx3rgs4r 206 23 posttransplant posttransplant NN cord-017142-vx3rgs4r 206 24 setting set VBG cord-017142-vx3rgs4r 206 25 [ [ -LRB- cord-017142-vx3rgs4r 206 26 2 2 CD cord-017142-vx3rgs4r 206 27 , , , cord-017142-vx3rgs4r 206 28 7 7 CD cord-017142-vx3rgs4r 206 29 , , , cord-017142-vx3rgs4r 206 30 8 8 CD cord-017142-vx3rgs4r 206 31 , , , cord-017142-vx3rgs4r 206 32 120 120 CD cord-017142-vx3rgs4r 206 33 ] ] -RRB- cord-017142-vx3rgs4r 206 34 . . . cord-017142-vx3rgs4r 207 1 Though though IN cord-017142-vx3rgs4r 207 2 rare rare JJ cord-017142-vx3rgs4r 207 3 , , , cord-017142-vx3rgs4r 207 4 this this DT cord-017142-vx3rgs4r 207 5 is be VBZ cord-017142-vx3rgs4r 207 6 potentially potentially RB cord-017142-vx3rgs4r 207 7 a a DT cord-017142-vx3rgs4r 207 8 fatal fatal JJ cord-017142-vx3rgs4r 207 9 event event NN cord-017142-vx3rgs4r 207 10 . . . cord-017142-vx3rgs4r 208 1 A a DT cord-017142-vx3rgs4r 208 2 thorough thorough JJ cord-017142-vx3rgs4r 208 3 microbiology microbiology NN cord-017142-vx3rgs4r 208 4 screen screen NN cord-017142-vx3rgs4r 208 5 , , , cord-017142-vx3rgs4r 208 6 echocardiogram echocardiogram NN cord-017142-vx3rgs4r 208 7 , , , cord-017142-vx3rgs4r 208 8 CT CT NNP cord-017142-vx3rgs4r 208 9 imaging imaging NN cord-017142-vx3rgs4r 208 10 , , , cord-017142-vx3rgs4r 208 11 autoimmune autoimmune JJ cord-017142-vx3rgs4r 208 12 work work NN cord-017142-vx3rgs4r 208 13 - - HYPH cord-017142-vx3rgs4r 208 14 up up NN cord-017142-vx3rgs4r 208 15 , , , cord-017142-vx3rgs4r 208 16 and and CC cord-017142-vx3rgs4r 208 17 coagulopathy coagulopathy NN cord-017142-vx3rgs4r 208 18 work work NN cord-017142-vx3rgs4r 208 19 - - HYPH cord-017142-vx3rgs4r 208 20 up up NN cord-017142-vx3rgs4r 208 21 are be VBP cord-017142-vx3rgs4r 208 22 warranted warrant VBN cord-017142-vx3rgs4r 208 23 [ [ -LRB- cord-017142-vx3rgs4r 208 24 115 115 CD cord-017142-vx3rgs4r 208 25 ] ] -RRB- cord-017142-vx3rgs4r 208 26 . . . cord-017142-vx3rgs4r 209 1 BAL BAL NNP cord-017142-vx3rgs4r 209 2 showing show VBG cord-017142-vx3rgs4r 209 3 presence presence NN cord-017142-vx3rgs4r 209 4 of of IN cord-017142-vx3rgs4r 209 5 gross gross JJ cord-017142-vx3rgs4r 209 6 blood blood NN cord-017142-vx3rgs4r 209 7 and and CC cord-017142-vx3rgs4r 209 8 the the DT cord-017142-vx3rgs4r 209 9 percentage percentage NN cord-017142-vx3rgs4r 209 10 of of IN cord-017142-vx3rgs4r 209 11 hemosiderin hemosiderin NN cord-017142-vx3rgs4r 209 12 - - HYPH cord-017142-vx3rgs4r 209 13 laden laden JJ cord-017142-vx3rgs4r 209 14 macrophages macrophage NNS cord-017142-vx3rgs4r 209 15 ( ( -LRB- cord-017142-vx3rgs4r 209 16 siderophages siderophages NNP cord-017142-vx3rgs4r 209 17 ) ) -RRB- cord-017142-vx3rgs4r 209 18 > > NFP cord-017142-vx3rgs4r 209 19 20 20 CD cord-017142-vx3rgs4r 209 20 % % NN cord-017142-vx3rgs4r 209 21 at at IN cord-017142-vx3rgs4r 209 22 BAL BAL NNP cord-017142-vx3rgs4r 209 23 are be VBP cord-017142-vx3rgs4r 209 24 suggestive suggestive JJ cord-017142-vx3rgs4r 209 25 of of IN cord-017142-vx3rgs4r 209 26 a a DT cord-017142-vx3rgs4r 209 27 diagnosis diagnosis NN cord-017142-vx3rgs4r 209 28 of of IN cord-017142-vx3rgs4r 209 29 DAH DAH NNP cord-017142-vx3rgs4r 209 30 [ [ -LRB- cord-017142-vx3rgs4r 209 31 25 25 CD cord-017142-vx3rgs4r 209 32 , , , cord-017142-vx3rgs4r 209 33 42 42 CD cord-017142-vx3rgs4r 209 34 , , , cord-017142-vx3rgs4r 209 35 118 118 CD cord-017142-vx3rgs4r 209 36 ] ] -RRB- cord-017142-vx3rgs4r 209 37 . . . cord-017142-vx3rgs4r 210 1 Aggressive aggressive JJ cord-017142-vx3rgs4r 210 2 supportive supportive JJ cord-017142-vx3rgs4r 210 3 care care NN cord-017142-vx3rgs4r 210 4 and and CC cord-017142-vx3rgs4r 210 5 empiric empiric JJ cord-017142-vx3rgs4r 210 6 broad broad JJ cord-017142-vx3rgs4r 210 7 - - HYPH cord-017142-vx3rgs4r 210 8 spectrum spectrum NN cord-017142-vx3rgs4r 210 9 antimicrobial antimicrobial NN cord-017142-vx3rgs4r 210 10 therapy therapy NN cord-017142-vx3rgs4r 210 11 should should MD cord-017142-vx3rgs4r 210 12 be be VB cord-017142-vx3rgs4r 210 13 considered consider VBN cord-017142-vx3rgs4r 210 14 . . . cord-017142-vx3rgs4r 211 1 The the DT cord-017142-vx3rgs4r 211 2 role role NN cord-017142-vx3rgs4r 211 3 of of IN cord-017142-vx3rgs4r 211 4 early early JJ cord-017142-vx3rgs4r 211 5 initiation initiation NN cord-017142-vx3rgs4r 211 6 of of IN cord-017142-vx3rgs4r 211 7 steroids steroid NNS cord-017142-vx3rgs4r 211 8 is be VBZ cord-017142-vx3rgs4r 211 9 currently currently RB cord-017142-vx3rgs4r 211 10 based base VBN cord-017142-vx3rgs4r 211 11 on on IN cord-017142-vx3rgs4r 211 12 retrospective retrospective JJ cord-017142-vx3rgs4r 211 13 series series NN cord-017142-vx3rgs4r 211 14 and and CC cord-017142-vx3rgs4r 211 15 case case NN cord-017142-vx3rgs4r 211 16 reports report NNS cord-017142-vx3rgs4r 211 17 . . . cord-017142-vx3rgs4r 212 1 An an DT cord-017142-vx3rgs4r 212 2 MD MD NNP cord-017142-vx3rgs4r 212 3 Anderson Anderson NNP cord-017142-vx3rgs4r 212 4 prospective prospective JJ cord-017142-vx3rgs4r 212 5 study study NN cord-017142-vx3rgs4r 212 6 examined examine VBD cord-017142-vx3rgs4r 212 7 119 119 CD cord-017142-vx3rgs4r 212 8 critically critically RB cord-017142-vx3rgs4r 212 9 ill ill JJ cord-017142-vx3rgs4r 212 10 adult adult NN cord-017142-vx3rgs4r 212 11 hematopoietic hematopoietic JJ cord-017142-vx3rgs4r 212 12 transplant transplant NN cord-017142-vx3rgs4r 212 13 patients patient NNS cord-017142-vx3rgs4r 212 14 treated treat VBN cord-017142-vx3rgs4r 212 15 for for IN cord-017142-vx3rgs4r 212 16 DAH DAH NNP cord-017142-vx3rgs4r 212 17 , , , cord-017142-vx3rgs4r 212 18 and and CC cord-017142-vx3rgs4r 212 19 on on IN cord-017142-vx3rgs4r 212 20 multivariate multivariate JJ cord-017142-vx3rgs4r 212 21 analysis analysis NN cord-017142-vx3rgs4r 212 22 , , , cord-017142-vx3rgs4r 212 23 an an DT cord-017142-vx3rgs4r 212 24 initial initial JJ cord-017142-vx3rgs4r 212 25 medium medium NN cord-017142-vx3rgs4r 212 26 ( ( -LRB- cord-017142-vx3rgs4r 212 27 250 250 CD cord-017142-vx3rgs4r 212 28 - - SYM cord-017142-vx3rgs4r 212 29 1000 1000 CD cord-017142-vx3rgs4r 212 30 mg mg NNP cord-017142-vx3rgs4r 212 31 / / SYM cord-017142-vx3rgs4r 212 32 day day NN cord-017142-vx3rgs4r 212 33 ) ) -RRB- cord-017142-vx3rgs4r 212 34 and and CC cord-017142-vx3rgs4r 212 35 high high JJ cord-017142-vx3rgs4r 212 36 - - HYPH cord-017142-vx3rgs4r 212 37 dose dose NN cord-017142-vx3rgs4r 212 38 ( ( -LRB- cord-017142-vx3rgs4r 212 39 1000 1000 CD cord-017142-vx3rgs4r 212 40 mg mg NNP cord-017142-vx3rgs4r 212 41 / / SYM cord-017142-vx3rgs4r 212 42 day day NN cord-017142-vx3rgs4r 212 43 ) ) -RRB- cord-017142-vx3rgs4r 212 44 steroids steroid NNS cord-017142-vx3rgs4r 212 45 were be VBD cord-017142-vx3rgs4r 212 46 associated associate VBN cord-017142-vx3rgs4r 212 47 with with IN cord-017142-vx3rgs4r 212 48 a a DT cord-017142-vx3rgs4r 212 49 higher high JJR cord-017142-vx3rgs4r 212 50 ICU ICU NNP cord-017142-vx3rgs4r 212 51 mortality mortality NN cord-017142-vx3rgs4r 212 52 ( ( -LRB- cord-017142-vx3rgs4r 212 53 P p NN cord-017142-vx3rgs4r 212 54 = = SYM cord-017142-vx3rgs4r 212 55 0.01 0.01 CD cord-017142-vx3rgs4r 212 56 ) ) -RRB- cord-017142-vx3rgs4r 212 57 as as IN cord-017142-vx3rgs4r 212 58 compared compare VBN cord-017142-vx3rgs4r 212 59 with with IN cord-017142-vx3rgs4r 212 60 the the DT cord-017142-vx3rgs4r 212 61 low low JJ cord-017142-vx3rgs4r 212 62 dose dose NN cord-017142-vx3rgs4r 212 63 ( ( -LRB- cord-017142-vx3rgs4r 212 64 < < NNP cord-017142-vx3rgs4r 212 65 250 250 CD cord-017142-vx3rgs4r 212 66 mg mg NNP cord-017142-vx3rgs4r 212 67 / / SYM cord-017142-vx3rgs4r 212 68 day day NN cord-017142-vx3rgs4r 212 69 ) ) -RRB- cord-017142-vx3rgs4r 212 70 . . . cord-017142-vx3rgs4r 213 1 Adjunctive Adjunctive NNP cord-017142-vx3rgs4r 213 2 treatment treatment NN cord-017142-vx3rgs4r 213 3 with with IN cord-017142-vx3rgs4r 213 4 aminocaproic aminocaproic NNP cord-017142-vx3rgs4r 213 5 acid acid NN cord-017142-vx3rgs4r 213 6 in in IN cord-017142-vx3rgs4r 213 7 this this DT cord-017142-vx3rgs4r 213 8 study study NN cord-017142-vx3rgs4r 213 9 , , , cord-017142-vx3rgs4r 213 10 which which WDT cord-017142-vx3rgs4r 213 11 is be VBZ cord-017142-vx3rgs4r 213 12 commonly commonly RB cord-017142-vx3rgs4r 213 13 used use VBN cord-017142-vx3rgs4r 213 14 in in IN cord-017142-vx3rgs4r 213 15 DAH DAH NNP cord-017142-vx3rgs4r 213 16 , , , cord-017142-vx3rgs4r 213 17 did do VBD cord-017142-vx3rgs4r 213 18 not not RB cord-017142-vx3rgs4r 213 19 produce produce VB cord-017142-vx3rgs4r 213 20 differences difference NNS cord-017142-vx3rgs4r 213 21 in in IN cord-017142-vx3rgs4r 213 22 outcomes outcome NNS cord-017142-vx3rgs4r 213 23 [ [ -LRB- cord-017142-vx3rgs4r 213 24 85 85 CD cord-017142-vx3rgs4r 213 25 , , , cord-017142-vx3rgs4r 213 26 105 105 CD cord-017142-vx3rgs4r 213 27 ] ] -RRB- cord-017142-vx3rgs4r 213 28 . . . cord-017142-vx3rgs4r 214 1 Drug drug NN cord-017142-vx3rgs4r 214 2 - - HYPH cord-017142-vx3rgs4r 214 3 induced induce VBN cord-017142-vx3rgs4r 214 4 interstitial interstitial JJ cord-017142-vx3rgs4r 214 5 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 214 6 ( ( -LRB- cord-017142-vx3rgs4r 214 7 DIP dip NN cord-017142-vx3rgs4r 214 8 ) ) -RRB- cord-017142-vx3rgs4r 214 9 : : : cord-017142-vx3rgs4r 215 1 DIP dip VB cord-017142-vx3rgs4r 215 2 manifesting manifest VBG cord-017142-vx3rgs4r 215 3 as as IN cord-017142-vx3rgs4r 215 4 interstitial interstitial JJ cord-017142-vx3rgs4r 215 5 lung lung NN cord-017142-vx3rgs4r 215 6 disease disease NN cord-017142-vx3rgs4r 215 7 has have VBZ cord-017142-vx3rgs4r 215 8 been be VBN cord-017142-vx3rgs4r 215 9 reported report VBN cord-017142-vx3rgs4r 215 10 with with IN cord-017142-vx3rgs4r 215 11 lenalidomide lenalidomide NN cord-017142-vx3rgs4r 215 12 , , , cord-017142-vx3rgs4r 215 13 thalidomide thalidomide NN cord-017142-vx3rgs4r 215 14 , , , cord-017142-vx3rgs4r 215 15 and and CC cord-017142-vx3rgs4r 215 16 bortezomib bortezomib NNP cord-017142-vx3rgs4r 215 17 [ [ -LRB- cord-017142-vx3rgs4r 215 18 16 16 CD cord-017142-vx3rgs4r 215 19 , , , cord-017142-vx3rgs4r 215 20 20 20 CD cord-017142-vx3rgs4r 215 21 , , , cord-017142-vx3rgs4r 215 22 113 113 CD cord-017142-vx3rgs4r 215 23 , , , cord-017142-vx3rgs4r 215 24 123 123 CD cord-017142-vx3rgs4r 215 25 ] ] -RRB- cord-017142-vx3rgs4r 215 26 . . . cord-017142-vx3rgs4r 216 1 Though though IN cord-017142-vx3rgs4r 216 2 mechanisms mechanism NNS cord-017142-vx3rgs4r 216 3 are be VBP cord-017142-vx3rgs4r 216 4 not not RB cord-017142-vx3rgs4r 216 5 fully fully RB cord-017142-vx3rgs4r 216 6 elucidated elucidate VBN cord-017142-vx3rgs4r 216 7 , , , cord-017142-vx3rgs4r 216 8 oxidative oxidative JJ cord-017142-vx3rgs4r 216 9 stress stress NN cord-017142-vx3rgs4r 216 10 , , , cord-017142-vx3rgs4r 216 11 prostaglandin prostaglandin NN cord-017142-vx3rgs4r 216 12 E2 e2 NN cord-017142-vx3rgs4r 216 13 ( ( -LRB- cord-017142-vx3rgs4r 216 14 PGE2 PGE2 NNP cord-017142-vx3rgs4r 216 15 ) ) -RRB- cord-017142-vx3rgs4r 216 16 inhibition inhibition NN cord-017142-vx3rgs4r 216 17 , , , cord-017142-vx3rgs4r 216 18 fibroblast fibroblast NN cord-017142-vx3rgs4r 216 19 proliferation proliferation NN cord-017142-vx3rgs4r 216 20 , , , cord-017142-vx3rgs4r 216 21 and and CC cord-017142-vx3rgs4r 216 22 impairment impairment NN cord-017142-vx3rgs4r 216 23 of of IN cord-017142-vx3rgs4r 216 24 cell cell NN cord-017142-vx3rgs4r 216 25 repair repair NN cord-017142-vx3rgs4r 216 26 by by IN cord-017142-vx3rgs4r 216 27 epidermal epidermal JJ cord-017142-vx3rgs4r 216 28 growth growth NN cord-017142-vx3rgs4r 216 29 factor factor NN cord-017142-vx3rgs4r 216 30 receptor receptor NN cord-017142-vx3rgs4r 216 31 blocking blocking NN cord-017142-vx3rgs4r 216 32 may may MD cord-017142-vx3rgs4r 216 33 play play VB cord-017142-vx3rgs4r 216 34 a a DT cord-017142-vx3rgs4r 216 35 role role NN cord-017142-vx3rgs4r 216 36 . . . cord-017142-vx3rgs4r 217 1 BAL bal NN cord-017142-vx3rgs4r 217 2 with with IN cord-017142-vx3rgs4r 217 3 culture culture NN cord-017142-vx3rgs4r 217 4 and and CC cord-017142-vx3rgs4r 217 5 microscopy microscopy NN cord-017142-vx3rgs4r 217 6 should should MD cord-017142-vx3rgs4r 217 7 be be VB cord-017142-vx3rgs4r 217 8 able able JJ cord-017142-vx3rgs4r 217 9 to to TO cord-017142-vx3rgs4r 217 10 help help VB cord-017142-vx3rgs4r 217 11 rule rule VB cord-017142-vx3rgs4r 217 12 out out RP cord-017142-vx3rgs4r 217 13 infectious infectious JJ cord-017142-vx3rgs4r 217 14 causes cause NNS cord-017142-vx3rgs4r 217 15 . . . cord-017142-vx3rgs4r 218 1 The the DT cord-017142-vx3rgs4r 218 2 lymphocytic lymphocytic JJ cord-017142-vx3rgs4r 218 3 preponderance preponderance NN cord-017142-vx3rgs4r 218 4 typically typically RB cord-017142-vx3rgs4r 218 5 seen see VBN cord-017142-vx3rgs4r 218 6 in in IN cord-017142-vx3rgs4r 218 7 bronchoalveolar bronchoalveolar NNP cord-017142-vx3rgs4r 218 8 lavage lavage NNP cord-017142-vx3rgs4r 218 9 ( ( -LRB- cord-017142-vx3rgs4r 218 10 BAL BAL NNP cord-017142-vx3rgs4r 218 11 ) ) -RRB- cord-017142-vx3rgs4r 218 12 is be VBZ cord-017142-vx3rgs4r 218 13 supportive supportive JJ cord-017142-vx3rgs4r 218 14 of of IN cord-017142-vx3rgs4r 218 15 a a DT cord-017142-vx3rgs4r 218 16 hypersensitivity hypersensitivity NN cord-017142-vx3rgs4r 218 17 mechanism mechanism NN cord-017142-vx3rgs4r 218 18 ; ; : cord-017142-vx3rgs4r 218 19 however however RB cord-017142-vx3rgs4r 218 20 , , , cord-017142-vx3rgs4r 218 21 this this DT cord-017142-vx3rgs4r 218 22 finding finding NN cord-017142-vx3rgs4r 218 23 is be VBZ cord-017142-vx3rgs4r 218 24 nondiagnostic nondiagnostic JJ cord-017142-vx3rgs4r 218 25 and and CC cord-017142-vx3rgs4r 218 26 requires require VBZ cord-017142-vx3rgs4r 218 27 meticulous meticulous JJ cord-017142-vx3rgs4r 218 28 exclusion exclusion NN cord-017142-vx3rgs4r 218 29 of of IN cord-017142-vx3rgs4r 218 30 other other JJ cord-017142-vx3rgs4r 218 31 causes cause NNS cord-017142-vx3rgs4r 218 32 . . . cord-017142-vx3rgs4r 219 1 Invasive invasive JJ cord-017142-vx3rgs4r 219 2 procedures procedure NNS cord-017142-vx3rgs4r 219 3 like like IN cord-017142-vx3rgs4r 219 4 biopsy biopsy NN cord-017142-vx3rgs4r 219 5 usually usually RB cord-017142-vx3rgs4r 219 6 do do VBP cord-017142-vx3rgs4r 219 7 not not RB cord-017142-vx3rgs4r 219 8 provide provide VB cord-017142-vx3rgs4r 219 9 any any DT cord-017142-vx3rgs4r 219 10 specific specific JJ cord-017142-vx3rgs4r 219 11 findings finding NNS cord-017142-vx3rgs4r 219 12 diagnostic diagnostic JJ cord-017142-vx3rgs4r 219 13 for for IN cord-017142-vx3rgs4r 219 14 DIP dip NN cord-017142-vx3rgs4r 219 15 and and CC cord-017142-vx3rgs4r 219 16 , , , cord-017142-vx3rgs4r 219 17 therefore therefore RB cord-017142-vx3rgs4r 219 18 , , , cord-017142-vx3rgs4r 219 19 should should MD cord-017142-vx3rgs4r 219 20 be be VB cord-017142-vx3rgs4r 219 21 obtained obtain VBN cord-017142-vx3rgs4r 219 22 only only RB cord-017142-vx3rgs4r 219 23 on on IN cord-017142-vx3rgs4r 219 24 a a DT cord-017142-vx3rgs4r 219 25 case case NN cord-017142-vx3rgs4r 219 26 - - HYPH cord-017142-vx3rgs4r 219 27 by by IN cord-017142-vx3rgs4r 219 28 - - HYPH cord-017142-vx3rgs4r 219 29 case case NN cord-017142-vx3rgs4r 219 30 basis basis NN cord-017142-vx3rgs4r 219 31 . . . cord-017142-vx3rgs4r 220 1 Once once IN cord-017142-vx3rgs4r 220 2 DIP dip NN cord-017142-vx3rgs4r 220 3 is be VBZ cord-017142-vx3rgs4r 220 4 suspected suspect VBN cord-017142-vx3rgs4r 220 5 , , , cord-017142-vx3rgs4r 220 6 stopping stop VBG cord-017142-vx3rgs4r 220 7 the the DT cord-017142-vx3rgs4r 220 8 offending offending JJ cord-017142-vx3rgs4r 220 9 agent agent NN cord-017142-vx3rgs4r 220 10 is be VBZ cord-017142-vx3rgs4r 220 11 the the DT cord-017142-vx3rgs4r 220 12 main main JJ cord-017142-vx3rgs4r 220 13 therapeutic therapeutic JJ cord-017142-vx3rgs4r 220 14 approach approach NN cord-017142-vx3rgs4r 220 15 ; ; : cord-017142-vx3rgs4r 220 16 steroids steroid NNS cord-017142-vx3rgs4r 220 17 may may MD cord-017142-vx3rgs4r 220 18 be be VB cord-017142-vx3rgs4r 220 19 used use VBN cord-017142-vx3rgs4r 220 20 in in IN cord-017142-vx3rgs4r 220 21 severe severe JJ cord-017142-vx3rgs4r 220 22 cases case NNS cord-017142-vx3rgs4r 220 23 [ [ -LRB- cord-017142-vx3rgs4r 220 24 4 4 CD cord-017142-vx3rgs4r 220 25 , , , cord-017142-vx3rgs4r 220 26 61 61 CD cord-017142-vx3rgs4r 220 27 ] ] -RRB- cord-017142-vx3rgs4r 220 28 . . . cord-017142-vx3rgs4r 221 1 Although although IN cord-017142-vx3rgs4r 221 2 no no DT cord-017142-vx3rgs4r 221 3 guidelines guideline NNS cord-017142-vx3rgs4r 221 4 exist exist VBP cord-017142-vx3rgs4r 221 5 on on IN cord-017142-vx3rgs4r 221 6 the the DT cord-017142-vx3rgs4r 221 7 duration duration NN cord-017142-vx3rgs4r 221 8 of of IN cord-017142-vx3rgs4r 221 9 steroids steroid NNS cord-017142-vx3rgs4r 221 10 , , , cord-017142-vx3rgs4r 221 11 in in IN cord-017142-vx3rgs4r 221 12 general general JJ cord-017142-vx3rgs4r 221 13 , , , cord-017142-vx3rgs4r 221 14 a a DT cord-017142-vx3rgs4r 221 15 slow slow JJ cord-017142-vx3rgs4r 221 16 taper taper NN cord-017142-vx3rgs4r 221 17 is be VBZ cord-017142-vx3rgs4r 221 18 recommended recommend VBN cord-017142-vx3rgs4r 221 19 [ [ -LRB- cord-017142-vx3rgs4r 221 20 61 61 CD cord-017142-vx3rgs4r 221 21 ] ] -RRB- cord-017142-vx3rgs4r 221 22 . . . cord-017142-vx3rgs4r 222 1 Caution caution NN cord-017142-vx3rgs4r 222 2 should should MD cord-017142-vx3rgs4r 222 3 be be VB cord-017142-vx3rgs4r 222 4 maintained maintain VBN cord-017142-vx3rgs4r 222 5 on on IN cord-017142-vx3rgs4r 222 6 rechallenging rechallenge VBG cord-017142-vx3rgs4r 222 7 the the DT cord-017142-vx3rgs4r 222 8 patients patient NNS cord-017142-vx3rgs4r 222 9 with with IN cord-017142-vx3rgs4r 222 10 the the DT cord-017142-vx3rgs4r 222 11 offending offending JJ cord-017142-vx3rgs4r 222 12 medication medication NN cord-017142-vx3rgs4r 222 13 as as IN cord-017142-vx3rgs4r 222 14 the the DT cord-017142-vx3rgs4r 222 15 risk risk NN cord-017142-vx3rgs4r 222 16 of of IN cord-017142-vx3rgs4r 222 17 recurrent recurrent JJ cord-017142-vx3rgs4r 222 18 reaction reaction NN cord-017142-vx3rgs4r 222 19 is be VBZ cord-017142-vx3rgs4r 222 20 extremely extremely RB cord-017142-vx3rgs4r 222 21 high high JJ cord-017142-vx3rgs4r 222 22 . . . cord-017142-vx3rgs4r 223 1 Hypercalcemia Hypercalcemia NNP cord-017142-vx3rgs4r 223 2 : : : cord-017142-vx3rgs4r 224 1 Being be VBG cord-017142-vx3rgs4r 224 2 one one CD cord-017142-vx3rgs4r 224 3 of of IN cord-017142-vx3rgs4r 224 4 the the DT cord-017142-vx3rgs4r 224 5 four four CD cord-017142-vx3rgs4r 224 6 diagnostic diagnostic JJ cord-017142-vx3rgs4r 224 7 criteria criterion NNS cord-017142-vx3rgs4r 224 8 for for IN cord-017142-vx3rgs4r 224 9 MM MM NNP cord-017142-vx3rgs4r 225 1 ( ( -LRB- cord-017142-vx3rgs4r 225 2 CRAB CRAB NNP cord-017142-vx3rgs4r 225 3 criteriacalcium criteriacalcium NNP cord-017142-vx3rgs4r 225 4 , , , cord-017142-vx3rgs4r 225 5 renal renal JJ cord-017142-vx3rgs4r 225 6 insufficiency insufficiency NN cord-017142-vx3rgs4r 225 7 , , , cord-017142-vx3rgs4r 225 8 anemia anemia NN cord-017142-vx3rgs4r 225 9 , , , cord-017142-vx3rgs4r 225 10 and and CC cord-017142-vx3rgs4r 225 11 bone bone NN cord-017142-vx3rgs4r 225 12 disease disease NN cord-017142-vx3rgs4r 225 13 ) ) -RRB- cord-017142-vx3rgs4r 225 14 , , , cord-017142-vx3rgs4r 225 15 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 225 16 is be VBZ cord-017142-vx3rgs4r 225 17 defined define VBN cord-017142-vx3rgs4r 225 18 as as IN cord-017142-vx3rgs4r 225 19 calcium calcium NN cord-017142-vx3rgs4r 225 20 level level NN cord-017142-vx3rgs4r 225 21 corrected correct VBN cord-017142-vx3rgs4r 225 22 for for IN cord-017142-vx3rgs4r 225 23 albumin albumin NN cord-017142-vx3rgs4r 225 24 11 11 CD cord-017142-vx3rgs4r 225 25 mg mg NNP cord-017142-vx3rgs4r 225 26 / / SYM cord-017142-vx3rgs4r 225 27 dL. dL. NNS cord-017142-vx3rgs4r 226 1 Almost almost RB cord-017142-vx3rgs4r 226 2 a a DT cord-017142-vx3rgs4r 226 3 third third NN cord-017142-vx3rgs4r 226 4 of of IN cord-017142-vx3rgs4r 226 5 MM MM NNP cord-017142-vx3rgs4r 226 6 patients patient NNS cord-017142-vx3rgs4r 226 7 are be VBP cord-017142-vx3rgs4r 226 8 diagnosed diagnose VBN cord-017142-vx3rgs4r 226 9 with with IN cord-017142-vx3rgs4r 226 10 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 226 11 at at IN cord-017142-vx3rgs4r 226 12 diagnosis diagnosis NN cord-017142-vx3rgs4r 226 13 or or CC cord-017142-vx3rgs4r 226 14 during during IN cord-017142-vx3rgs4r 226 15 the the DT cord-017142-vx3rgs4r 226 16 disease disease NN cord-017142-vx3rgs4r 226 17 course course NN cord-017142-vx3rgs4r 226 18 [ [ -LRB- cord-017142-vx3rgs4r 226 19 64 64 CD cord-017142-vx3rgs4r 226 20 , , , cord-017142-vx3rgs4r 226 21 141 141 CD cord-017142-vx3rgs4r 226 22 ] ] -RRB- cord-017142-vx3rgs4r 226 23 . . . cord-017142-vx3rgs4r 227 1 The the DT cord-017142-vx3rgs4r 227 2 mechanism mechanism NN cord-017142-vx3rgs4r 227 3 is be VBZ cord-017142-vx3rgs4r 227 4 due due JJ cord-017142-vx3rgs4r 227 5 to to IN cord-017142-vx3rgs4r 227 6 local local JJ cord-017142-vx3rgs4r 227 7 osteolysis osteolysis NN cord-017142-vx3rgs4r 227 8 ; ; : cord-017142-vx3rgs4r 227 9 at at IN cord-017142-vx3rgs4r 227 10 the the DT cord-017142-vx3rgs4r 227 11 cellular cellular JJ cord-017142-vx3rgs4r 227 12 level level NN cord-017142-vx3rgs4r 227 13 , , , cord-017142-vx3rgs4r 227 14 it -PRON- PRP cord-017142-vx3rgs4r 227 15 is be VBZ cord-017142-vx3rgs4r 227 16 mediated mediate VBN cord-017142-vx3rgs4r 227 17 by by IN cord-017142-vx3rgs4r 227 18 interleukin interleukin NN cord-017142-vx3rgs4r 227 19 1 1 CD cord-017142-vx3rgs4r 227 20 , , , cord-017142-vx3rgs4r 227 21 interleukin interleukin NN cord-017142-vx3rgs4r 227 22 6 6 CD cord-017142-vx3rgs4r 227 23 , , , cord-017142-vx3rgs4r 227 24 and and CC cord-017142-vx3rgs4r 227 25 tumor tumor NN cord-017142-vx3rgs4r 227 26 necrosis necrosis NN cord-017142-vx3rgs4r 227 27 factor factor NN cord-017142-vx3rgs4r 227 28 α α NN cord-017142-vx3rgs4r 227 29 with with IN cord-017142-vx3rgs4r 227 30 RANKL RANKL NNP cord-017142-vx3rgs4r 227 31 being be VBG cord-017142-vx3rgs4r 227 32 the the DT cord-017142-vx3rgs4r 227 33 final final JJ cord-017142-vx3rgs4r 227 34 common common JJ cord-017142-vx3rgs4r 227 35 mediator mediator NN cord-017142-vx3rgs4r 227 36 . . . cord-017142-vx3rgs4r 228 1 Most Most JJS cord-017142-vx3rgs4r 228 2 patients patient NNS cord-017142-vx3rgs4r 228 3 presenting present VBG cord-017142-vx3rgs4r 228 4 with with IN cord-017142-vx3rgs4r 228 5 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 228 6 have have VBP cord-017142-vx3rgs4r 228 7 associated associate VBN cord-017142-vx3rgs4r 228 8 anemia anemia NN cord-017142-vx3rgs4r 228 9 , , , cord-017142-vx3rgs4r 228 10 thrombocytopenia thrombocytopenia NN cord-017142-vx3rgs4r 228 11 , , , cord-017142-vx3rgs4r 228 12 kidney kidney NN cord-017142-vx3rgs4r 228 13 dysfunction dysfunction NN cord-017142-vx3rgs4r 228 14 , , , cord-017142-vx3rgs4r 228 15 lytic lytic JJ cord-017142-vx3rgs4r 228 16 lesions lesion NNS cord-017142-vx3rgs4r 228 17 , , , cord-017142-vx3rgs4r 228 18 and and CC cord-017142-vx3rgs4r 228 19 advancedstage advancedstage NN cord-017142-vx3rgs4r 228 20 disease disease NN cord-017142-vx3rgs4r 228 21 . . . cord-017142-vx3rgs4r 229 1 Hypercalcemia Hypercalcemia NNP cord-017142-vx3rgs4r 229 2 is be VBZ cord-017142-vx3rgs4r 229 3 associated associate VBN cord-017142-vx3rgs4r 229 4 with with IN cord-017142-vx3rgs4r 229 5 aggressive aggressive JJ cord-017142-vx3rgs4r 229 6 disease disease NN cord-017142-vx3rgs4r 229 7 biology biology NN cord-017142-vx3rgs4r 229 8 and and CC cord-017142-vx3rgs4r 229 9 heavy heavy JJ cord-017142-vx3rgs4r 229 10 disease disease NN cord-017142-vx3rgs4r 229 11 burden burden NN cord-017142-vx3rgs4r 229 12 and and CC cord-017142-vx3rgs4r 229 13 remains remain VBZ cord-017142-vx3rgs4r 229 14 a a DT cord-017142-vx3rgs4r 229 15 poor poor JJ cord-017142-vx3rgs4r 229 16 prognostic prognostic JJ cord-017142-vx3rgs4r 229 17 feature feature NN cord-017142-vx3rgs4r 229 18 even even RB cord-017142-vx3rgs4r 229 19 in in IN cord-017142-vx3rgs4r 229 20 the the DT cord-017142-vx3rgs4r 229 21 era era NN cord-017142-vx3rgs4r 229 22 of of IN cord-017142-vx3rgs4r 229 23 novel novel JJ cord-017142-vx3rgs4r 229 24 agents agent NNS cord-017142-vx3rgs4r 229 25 [ [ -LRB- cord-017142-vx3rgs4r 229 26 141 141 CD cord-017142-vx3rgs4r 229 27 ] ] -RRB- cord-017142-vx3rgs4r 229 28 . . . cord-017142-vx3rgs4r 230 1 Clinically clinically RB cord-017142-vx3rgs4r 230 2 , , , cord-017142-vx3rgs4r 230 3 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 230 4 can can MD cord-017142-vx3rgs4r 230 5 be be VB cord-017142-vx3rgs4r 230 6 asymptomatic asymptomatic JJ cord-017142-vx3rgs4r 230 7 ; ; : cord-017142-vx3rgs4r 230 8 however however RB cord-017142-vx3rgs4r 230 9 , , , cord-017142-vx3rgs4r 230 10 patients patient NNS cord-017142-vx3rgs4r 230 11 often often RB cord-017142-vx3rgs4r 230 12 have have VBP cord-017142-vx3rgs4r 230 13 symptoms symptom NNS cord-017142-vx3rgs4r 230 14 which which WDT cord-017142-vx3rgs4r 230 15 range range VBP cord-017142-vx3rgs4r 230 16 from from IN cord-017142-vx3rgs4r 230 17 subtle subtle JJ cord-017142-vx3rgs4r 230 18 signs sign NNS cord-017142-vx3rgs4r 230 19 of of IN cord-017142-vx3rgs4r 230 20 malaise malaise NN cord-017142-vx3rgs4r 230 21 or or CC cord-017142-vx3rgs4r 230 22 fatigue fatigue NN cord-017142-vx3rgs4r 230 23 to to IN cord-017142-vx3rgs4r 230 24 severe severe JJ cord-017142-vx3rgs4r 230 25 consequences consequence NNS cord-017142-vx3rgs4r 230 26 including include VBG cord-017142-vx3rgs4r 230 27 renal renal JJ cord-017142-vx3rgs4r 230 28 failure failure NN cord-017142-vx3rgs4r 230 29 , , , cord-017142-vx3rgs4r 230 30 altered alter VBN cord-017142-vx3rgs4r 230 31 mentation mentation NN cord-017142-vx3rgs4r 230 32 , , , cord-017142-vx3rgs4r 230 33 seizures seizure NNS cord-017142-vx3rgs4r 230 34 , , , cord-017142-vx3rgs4r 230 35 shortened shorten VBN cord-017142-vx3rgs4r 230 36 QT qt NN cord-017142-vx3rgs4r 230 37 , , , cord-017142-vx3rgs4r 230 38 and and CC cord-017142-vx3rgs4r 230 39 risk risk NN cord-017142-vx3rgs4r 230 40 of of IN cord-017142-vx3rgs4r 230 41 arrhythmias arrhythmia NNS cord-017142-vx3rgs4r 230 42 . . . cord-017142-vx3rgs4r 231 1 Gastrointestinal gastrointestinal JJ cord-017142-vx3rgs4r 231 2 manifestations manifestation NNS cord-017142-vx3rgs4r 231 3 such such JJ cord-017142-vx3rgs4r 231 4 as as IN cord-017142-vx3rgs4r 231 5 nausea nausea NN cord-017142-vx3rgs4r 231 6 , , , cord-017142-vx3rgs4r 231 7 vomiting vomiting NN cord-017142-vx3rgs4r 231 8 , , , cord-017142-vx3rgs4r 231 9 ileus ileus NN cord-017142-vx3rgs4r 231 10 , , , cord-017142-vx3rgs4r 231 11 anorexia anorexia NN cord-017142-vx3rgs4r 231 12 , , , cord-017142-vx3rgs4r 231 13 and and CC cord-017142-vx3rgs4r 231 14 episodes episode NNS cord-017142-vx3rgs4r 231 15 of of IN cord-017142-vx3rgs4r 231 16 pancreatitis pancreatitis NN cord-017142-vx3rgs4r 231 17 have have VBP cord-017142-vx3rgs4r 231 18 been be VBN cord-017142-vx3rgs4r 231 19 reported report VBN cord-017142-vx3rgs4r 231 20 [ [ -LRB- cord-017142-vx3rgs4r 231 21 82 82 CD cord-017142-vx3rgs4r 231 22 ] ] -RRB- cord-017142-vx3rgs4r 231 23 . . . cord-017142-vx3rgs4r 232 1 If if IN cord-017142-vx3rgs4r 232 2 not not RB cord-017142-vx3rgs4r 232 3 treated treat VBN cord-017142-vx3rgs4r 232 4 promptly promptly RB cord-017142-vx3rgs4r 232 5 , , , cord-017142-vx3rgs4r 232 6 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 232 7 is be VBZ cord-017142-vx3rgs4r 232 8 lethal lethal JJ cord-017142-vx3rgs4r 232 9 . . . cord-017142-vx3rgs4r 233 1 Increased increase VBN cord-017142-vx3rgs4r 233 2 calcium calcium NN cord-017142-vx3rgs4r 233 3 promotes promote VBZ cord-017142-vx3rgs4r 233 4 natriuresis natriuresis NNP cord-017142-vx3rgs4r 233 5 which which WDT cord-017142-vx3rgs4r 233 6 can can MD cord-017142-vx3rgs4r 233 7 further further RB cord-017142-vx3rgs4r 233 8 worsen worsen VB cord-017142-vx3rgs4r 233 9 an an DT cord-017142-vx3rgs4r 233 10 already already RB cord-017142-vx3rgs4r 233 11 compromised compromise VBN cord-017142-vx3rgs4r 233 12 kidney kidney NN cord-017142-vx3rgs4r 233 13 function function NN cord-017142-vx3rgs4r 233 14 . . . cord-017142-vx3rgs4r 234 1 This this DT cord-017142-vx3rgs4r 234 2 dehydration dehydration NN cord-017142-vx3rgs4r 234 3 then then RB cord-017142-vx3rgs4r 234 4 leads lead VBZ cord-017142-vx3rgs4r 234 5 to to IN cord-017142-vx3rgs4r 234 6 worsening worsen VBG cord-017142-vx3rgs4r 234 7 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 234 8 and and CC cord-017142-vx3rgs4r 234 9 renal renal JJ cord-017142-vx3rgs4r 234 10 function function NN cord-017142-vx3rgs4r 234 11 . . . cord-017142-vx3rgs4r 235 1 Though though IN cord-017142-vx3rgs4r 235 2 the the DT cord-017142-vx3rgs4r 235 3 threshold threshold NN cord-017142-vx3rgs4r 235 4 levels level NNS cord-017142-vx3rgs4r 235 5 are be VBP cord-017142-vx3rgs4r 235 6 arbitrary arbitrary JJ cord-017142-vx3rgs4r 235 7 , , , cord-017142-vx3rgs4r 235 8 patients patient NNS cord-017142-vx3rgs4r 235 9 with with IN cord-017142-vx3rgs4r 235 10 serum serum NN cord-017142-vx3rgs4r 235 11 calcium calcium NN cord-017142-vx3rgs4r 235 12 level level NN cord-017142-vx3rgs4r 235 13 < < XX cord-017142-vx3rgs4r 236 1 12 12 CD cord-017142-vx3rgs4r 236 2 mg mg NNP cord-017142-vx3rgs4r 236 3 / / SYM cord-017142-vx3rgs4r 236 4 dL dl NN cord-017142-vx3rgs4r 236 5 or or CC cord-017142-vx3rgs4r 236 6 minimal minimal JJ cord-017142-vx3rgs4r 236 7 symptoms symptom NNS cord-017142-vx3rgs4r 236 8 can can MD cord-017142-vx3rgs4r 236 9 be be VB cord-017142-vx3rgs4r 236 10 managed manage VBN cord-017142-vx3rgs4r 236 11 with with IN cord-017142-vx3rgs4r 236 12 fluid fluid JJ cord-017142-vx3rgs4r 236 13 resuscitation resuscitation NN cord-017142-vx3rgs4r 236 14 which which WDT cord-017142-vx3rgs4r 236 15 reverses reverse VBZ cord-017142-vx3rgs4r 236 16 the the DT cord-017142-vx3rgs4r 236 17 hypovolemia hypovolemia NN cord-017142-vx3rgs4r 236 18 , , , cord-017142-vx3rgs4r 236 19 repletes replete VBZ cord-017142-vx3rgs4r 236 20 the the DT cord-017142-vx3rgs4r 236 21 intravascular intravascular JJ cord-017142-vx3rgs4r 236 22 volume volume NN cord-017142-vx3rgs4r 236 23 deficit deficit NN cord-017142-vx3rgs4r 236 24 , , , cord-017142-vx3rgs4r 236 25 and and CC cord-017142-vx3rgs4r 236 26 improves improve VBZ cord-017142-vx3rgs4r 236 27 urinary urinary JJ cord-017142-vx3rgs4r 236 28 calcium calcium NN cord-017142-vx3rgs4r 236 29 excretion excretion NN cord-017142-vx3rgs4r 236 30 . . . cord-017142-vx3rgs4r 237 1 Though though IN cord-017142-vx3rgs4r 237 2 the the DT cord-017142-vx3rgs4r 237 3 definitive definitive JJ cord-017142-vx3rgs4r 237 4 approach approach NN cord-017142-vx3rgs4r 237 5 is be VBZ cord-017142-vx3rgs4r 237 6 prompt prompt JJ cord-017142-vx3rgs4r 237 7 MM MM NNP cord-017142-vx3rgs4r 237 8 treatment treatment NN cord-017142-vx3rgs4r 237 9 initiation initiation NN cord-017142-vx3rgs4r 237 10 , , , cord-017142-vx3rgs4r 237 11 often often RB cord-017142-vx3rgs4r 237 12 due due JJ cord-017142-vx3rgs4r 237 13 to to IN cord-017142-vx3rgs4r 237 14 patient patient JJ cord-017142-vx3rgs4r 237 15 frailty frailty NN cord-017142-vx3rgs4r 237 16 and and CC cord-017142-vx3rgs4r 237 17 concomitant concomitant JJ cord-017142-vx3rgs4r 237 18 organ organ NN cord-017142-vx3rgs4r 237 19 damage damage NN cord-017142-vx3rgs4r 237 20 , , , cord-017142-vx3rgs4r 237 21 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 237 22 can can MD cord-017142-vx3rgs4r 237 23 not not RB cord-017142-vx3rgs4r 237 24 be be VB cord-017142-vx3rgs4r 237 25 initiated initiate VBN cord-017142-vx3rgs4r 237 26 until until IN cord-017142-vx3rgs4r 237 27 the the DT cord-017142-vx3rgs4r 237 28 patient patient NN cord-017142-vx3rgs4r 237 29 is be VBZ cord-017142-vx3rgs4r 237 30 more more RBR cord-017142-vx3rgs4r 237 31 stable stable JJ cord-017142-vx3rgs4r 237 32 . . . cord-017142-vx3rgs4r 238 1 If if IN cord-017142-vx3rgs4r 238 2 the the DT cord-017142-vx3rgs4r 238 3 patient patient NN cord-017142-vx3rgs4r 238 4 is be VBZ cord-017142-vx3rgs4r 238 5 on on IN cord-017142-vx3rgs4r 238 6 calcium calcium NN cord-017142-vx3rgs4r 238 7 , , , cord-017142-vx3rgs4r 238 8 vitamin vitamin NN cord-017142-vx3rgs4r 238 9 D d NN cord-017142-vx3rgs4r 238 10 supplements supplement NNS cord-017142-vx3rgs4r 238 11 , , , cord-017142-vx3rgs4r 238 12 thiazide thiazide NN cord-017142-vx3rgs4r 238 13 diuretics diuretic NNS cord-017142-vx3rgs4r 238 14 , , , cord-017142-vx3rgs4r 238 15 or or CC cord-017142-vx3rgs4r 238 16 any any DT cord-017142-vx3rgs4r 238 17 other other JJ cord-017142-vx3rgs4r 238 18 drugs drug NNS cord-017142-vx3rgs4r 238 19 which which WDT cord-017142-vx3rgs4r 238 20 promote promote VBP cord-017142-vx3rgs4r 238 21 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 238 22 , , , cord-017142-vx3rgs4r 238 23 they -PRON- PRP cord-017142-vx3rgs4r 238 24 should should MD cord-017142-vx3rgs4r 238 25 be be VB cord-017142-vx3rgs4r 238 26 stopped stop VBN cord-017142-vx3rgs4r 238 27 immediately immediately RB cord-017142-vx3rgs4r 238 28 . . . cord-017142-vx3rgs4r 239 1 In in IN cord-017142-vx3rgs4r 239 2 patients patient NNS cord-017142-vx3rgs4r 239 3 with with IN cord-017142-vx3rgs4r 239 4 levels level NNS cord-017142-vx3rgs4r 239 5 > > XX cord-017142-vx3rgs4r 240 1 14 14 CD cord-017142-vx3rgs4r 240 2 mg mg NNP cord-017142-vx3rgs4r 240 3 / / SYM cord-017142-vx3rgs4r 240 4 dL dl NN cord-017142-vx3rgs4r 240 5 or or CC cord-017142-vx3rgs4r 240 6 with with IN cord-017142-vx3rgs4r 240 7 significant significant JJ cord-017142-vx3rgs4r 240 8 symptoms symptom NNS cord-017142-vx3rgs4r 240 9 , , , cord-017142-vx3rgs4r 240 10 other other JJ cord-017142-vx3rgs4r 240 11 adjunct adjunct JJ cord-017142-vx3rgs4r 240 12 therapies therapy NNS cord-017142-vx3rgs4r 240 13 should should MD cord-017142-vx3rgs4r 240 14 be be VB cord-017142-vx3rgs4r 240 15 used use VBN cord-017142-vx3rgs4r 240 16 as as IN cord-017142-vx3rgs4r 240 17 a a DT cord-017142-vx3rgs4r 240 18 temporizing temporizing JJ cord-017142-vx3rgs4r 240 19 measure measure NN cord-017142-vx3rgs4r 240 20 . . . cord-017142-vx3rgs4r 241 1 Loop loop NN cord-017142-vx3rgs4r 241 2 diuretics diuretic NNS cord-017142-vx3rgs4r 241 3 , , , cord-017142-vx3rgs4r 241 4 which which WDT cord-017142-vx3rgs4r 241 5 were be VBD cord-017142-vx3rgs4r 241 6 previously previously RB cord-017142-vx3rgs4r 241 7 commonly commonly RB cord-017142-vx3rgs4r 241 8 used use VBN cord-017142-vx3rgs4r 241 9 for for IN cord-017142-vx3rgs4r 241 10 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 241 11 , , , cord-017142-vx3rgs4r 241 12 should should MD cord-017142-vx3rgs4r 241 13 not not RB cord-017142-vx3rgs4r 241 14 be be VB cord-017142-vx3rgs4r 241 15 routinely routinely RB cord-017142-vx3rgs4r 241 16 used use VBN cord-017142-vx3rgs4r 241 17 . . . cord-017142-vx3rgs4r 242 1 The the DT cord-017142-vx3rgs4r 242 2 utility utility NN cord-017142-vx3rgs4r 242 3 of of IN cord-017142-vx3rgs4r 242 4 forced force VBN cord-017142-vx3rgs4r 242 5 saline saline NN cord-017142-vx3rgs4r 242 6 diuresis diuresis NN cord-017142-vx3rgs4r 242 7 is be VBZ cord-017142-vx3rgs4r 242 8 not not RB cord-017142-vx3rgs4r 242 9 consistent consistent JJ cord-017142-vx3rgs4r 242 10 ; ; : cord-017142-vx3rgs4r 242 11 with with IN cord-017142-vx3rgs4r 242 12 lower low JJR cord-017142-vx3rgs4r 242 13 doses dose NNS cord-017142-vx3rgs4r 242 14 , , , cord-017142-vx3rgs4r 242 15 calciuresis calciuresis NNP cord-017142-vx3rgs4r 242 16 is be VBZ cord-017142-vx3rgs4r 242 17 an an DT cord-017142-vx3rgs4r 242 18 indirect indirect JJ cord-017142-vx3rgs4r 242 19 effect effect NN cord-017142-vx3rgs4r 242 20 of of IN cord-017142-vx3rgs4r 242 21 the the DT cord-017142-vx3rgs4r 242 22 accompanying accompany VBG cord-017142-vx3rgs4r 242 23 natriuresis natriuresis NN cord-017142-vx3rgs4r 242 24 . . . cord-017142-vx3rgs4r 243 1 To to TO cord-017142-vx3rgs4r 243 2 cause cause VB cord-017142-vx3rgs4r 243 3 a a DT cord-017142-vx3rgs4r 243 4 direct direct JJ cord-017142-vx3rgs4r 243 5 calciuretic calciuretic JJ cord-017142-vx3rgs4r 243 6 effect effect NN cord-017142-vx3rgs4r 243 7 , , , cord-017142-vx3rgs4r 243 8 doses dose NNS cord-017142-vx3rgs4r 243 9 as as RB cord-017142-vx3rgs4r 243 10 high high JJ cord-017142-vx3rgs4r 243 11 as as IN cord-017142-vx3rgs4r 243 12 100 100 CD cord-017142-vx3rgs4r 243 13 mg mg NNP cord-017142-vx3rgs4r 243 14 / / SYM cord-017142-vx3rgs4r 243 15 h h NNP cord-017142-vx3rgs4r 243 16 is be VBZ cord-017142-vx3rgs4r 243 17 required require VBN cord-017142-vx3rgs4r 243 18 , , , cord-017142-vx3rgs4r 243 19 which which WDT cord-017142-vx3rgs4r 243 20 can can MD cord-017142-vx3rgs4r 243 21 cause cause VB cord-017142-vx3rgs4r 243 22 unwanted unwanted JJ cord-017142-vx3rgs4r 243 23 metabolic metabolic JJ cord-017142-vx3rgs4r 243 24 derangements derangement NNS cord-017142-vx3rgs4r 243 25 and and CC cord-017142-vx3rgs4r 243 26 worsening worsen VBG cord-017142-vx3rgs4r 243 27 renal renal JJ cord-017142-vx3rgs4r 243 28 cast cast NN cord-017142-vx3rgs4r 243 29 formation formation NN cord-017142-vx3rgs4r 243 30 with with IN cord-017142-vx3rgs4r 243 31 risk risk NN cord-017142-vx3rgs4r 243 32 of of IN cord-017142-vx3rgs4r 243 33 worsening worsen VBG cord-017142-vx3rgs4r 243 34 renal renal JJ cord-017142-vx3rgs4r 243 35 dysfunction dysfunction NN cord-017142-vx3rgs4r 243 36 [ [ -LRB- cord-017142-vx3rgs4r 243 37 68 68 CD cord-017142-vx3rgs4r 243 38 ] ] -RRB- cord-017142-vx3rgs4r 243 39 . . . cord-017142-vx3rgs4r 244 1 The the DT cord-017142-vx3rgs4r 244 2 use use NN cord-017142-vx3rgs4r 244 3 of of IN cord-017142-vx3rgs4r 244 4 calcitonin calcitonin NN cord-017142-vx3rgs4r 244 5 to to TO cord-017142-vx3rgs4r 244 6 treat treat VB cord-017142-vx3rgs4r 244 7 patients patient NNS cord-017142-vx3rgs4r 244 8 with with IN cord-017142-vx3rgs4r 244 9 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 244 10 is be VBZ cord-017142-vx3rgs4r 244 11 limited limit VBN cord-017142-vx3rgs4r 244 12 owing owe VBG cord-017142-vx3rgs4r 244 13 to to IN cord-017142-vx3rgs4r 244 14 its -PRON- PRP$ cord-017142-vx3rgs4r 244 15 inability inability NN cord-017142-vx3rgs4r 244 16 to to TO cord-017142-vx3rgs4r 244 17 dramatically dramatically RB cord-017142-vx3rgs4r 244 18 lower lower VB cord-017142-vx3rgs4r 244 19 serum serum NN cord-017142-vx3rgs4r 244 20 calcium calcium NN cord-017142-vx3rgs4r 244 21 levels level NNS cord-017142-vx3rgs4r 244 22 . . . cord-017142-vx3rgs4r 245 1 However however RB cord-017142-vx3rgs4r 245 2 , , , cord-017142-vx3rgs4r 245 3 it -PRON- PRP cord-017142-vx3rgs4r 245 4 can can MD cord-017142-vx3rgs4r 245 5 work work VB cord-017142-vx3rgs4r 245 6 synergistically synergistically RB cord-017142-vx3rgs4r 245 7 with with IN cord-017142-vx3rgs4r 245 8 other other JJ cord-017142-vx3rgs4r 245 9 therapies therapy NNS cord-017142-vx3rgs4r 245 10 without without IN cord-017142-vx3rgs4r 245 11 significant significant JJ cord-017142-vx3rgs4r 245 12 adverse adverse JJ cord-017142-vx3rgs4r 245 13 side side NN cord-017142-vx3rgs4r 245 14 effects effect NNS cord-017142-vx3rgs4r 245 15 until until IN cord-017142-vx3rgs4r 245 16 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 245 17 can can MD cord-017142-vx3rgs4r 245 18 be be VB cord-017142-vx3rgs4r 245 19 initiated initiate VBN cord-017142-vx3rgs4r 245 20 . . . cord-017142-vx3rgs4r 246 1 Calcitonin Calcitonin NNP cord-017142-vx3rgs4r 246 2 , , , cord-017142-vx3rgs4r 246 3 by by IN cord-017142-vx3rgs4r 246 4 inhibition inhibition NN cord-017142-vx3rgs4r 246 5 of of IN cord-017142-vx3rgs4r 246 6 bone bone NN cord-017142-vx3rgs4r 246 7 resorption resorption NN cord-017142-vx3rgs4r 246 8 and and CC cord-017142-vx3rgs4r 246 9 increased increase VBN cord-017142-vx3rgs4r 246 10 renal renal JJ cord-017142-vx3rgs4r 246 11 calcium calcium NN cord-017142-vx3rgs4r 246 12 excretion excretion NN cord-017142-vx3rgs4r 246 13 , , , cord-017142-vx3rgs4r 246 14 has have VBZ cord-017142-vx3rgs4r 246 15 rapid rapid JJ cord-017142-vx3rgs4r 246 16 onset onset NN cord-017142-vx3rgs4r 246 17 of of IN cord-017142-vx3rgs4r 246 18 action action NN cord-017142-vx3rgs4r 246 19 and and CC cord-017142-vx3rgs4r 246 20 can can MD cord-017142-vx3rgs4r 246 21 lower lower VB cord-017142-vx3rgs4r 246 22 calcium calcium NN cord-017142-vx3rgs4r 246 23 levels level NNS cord-017142-vx3rgs4r 246 24 by by IN cord-017142-vx3rgs4r 246 25 1 1 CD cord-017142-vx3rgs4r 246 26 - - SYM cord-017142-vx3rgs4r 246 27 2 2 CD cord-017142-vx3rgs4r 246 28 mg mg NNP cord-017142-vx3rgs4r 246 29 / / SYM cord-017142-vx3rgs4r 246 30 dL dl NN cord-017142-vx3rgs4r 246 31 ( ( -LRB- cord-017142-vx3rgs4r 246 32 0.5 0.5 CD cord-017142-vx3rgs4r 246 33 mmol mmol NNP cord-017142-vx3rgs4r 246 34 / / SYM cord-017142-vx3rgs4r 246 35 L L NNP cord-017142-vx3rgs4r 246 36 ) ) -RRB- cord-017142-vx3rgs4r 246 37 . . . cord-017142-vx3rgs4r 247 1 The the DT cord-017142-vx3rgs4r 247 2 dose dose NN cord-017142-vx3rgs4r 247 3 is be VBZ cord-017142-vx3rgs4r 247 4 4 4 CD cord-017142-vx3rgs4r 247 5 IU IU NNP cord-017142-vx3rgs4r 247 6 / / SYM cord-017142-vx3rgs4r 247 7 kg kg NNS cord-017142-vx3rgs4r 247 8 given give VBN cord-017142-vx3rgs4r 247 9 subcutaneously subcutaneously RB cord-017142-vx3rgs4r 247 10 or or CC cord-017142-vx3rgs4r 247 11 intramuscularly intramuscularly RB cord-017142-vx3rgs4r 247 12 every every DT cord-017142-vx3rgs4r 247 13 6 6 CD cord-017142-vx3rgs4r 247 14 - - SYM cord-017142-vx3rgs4r 247 15 12 12 CD cord-017142-vx3rgs4r 247 16 h. h. NN cord-017142-vx3rgs4r 248 1 The the DT cord-017142-vx3rgs4r 248 2 efficacy efficacy NN cord-017142-vx3rgs4r 248 3 in in IN cord-017142-vx3rgs4r 248 4 general general JJ cord-017142-vx3rgs4r 248 5 wears wear VBZ cord-017142-vx3rgs4r 248 6 off off RP cord-017142-vx3rgs4r 248 7 after after IN cord-017142-vx3rgs4r 248 8 2 2 CD cord-017142-vx3rgs4r 248 9 - - SYM cord-017142-vx3rgs4r 248 10 3 3 CD cord-017142-vx3rgs4r 248 11 days day NNS cord-017142-vx3rgs4r 248 12 due due JJ cord-017142-vx3rgs4r 248 13 to to IN cord-017142-vx3rgs4r 248 14 the the DT cord-017142-vx3rgs4r 248 15 escape escape NN cord-017142-vx3rgs4r 248 16 phenomenon phenomenon NN cord-017142-vx3rgs4r 248 17 ( ( -LRB- cord-017142-vx3rgs4r 248 18 tachyphylaxis tachyphylaxis NNP cord-017142-vx3rgs4r 248 19 ) ) -RRB- cord-017142-vx3rgs4r 248 20 of of IN cord-017142-vx3rgs4r 248 21 the the DT cord-017142-vx3rgs4r 248 22 calcitonin calcitonin NN cord-017142-vx3rgs4r 248 23 sensing sensing NN cord-017142-vx3rgs4r 248 24 receptors receptor NNS cord-017142-vx3rgs4r 248 25 [ [ -LRB- cord-017142-vx3rgs4r 248 26 65 65 CD cord-017142-vx3rgs4r 248 27 ] ] -RRB- cord-017142-vx3rgs4r 248 28 . . . cord-017142-vx3rgs4r 249 1 Preclinical preclinical JJ cord-017142-vx3rgs4r 249 2 studies study NNS cord-017142-vx3rgs4r 249 3 suggest suggest VBP cord-017142-vx3rgs4r 249 4 tachyphylaxis tachyphylaxis NNP cord-017142-vx3rgs4r 249 5 can can MD cord-017142-vx3rgs4r 249 6 be be VB cord-017142-vx3rgs4r 249 7 prevented prevent VBN cord-017142-vx3rgs4r 249 8 with with IN cord-017142-vx3rgs4r 249 9 the the DT cord-017142-vx3rgs4r 249 10 addition addition NN cord-017142-vx3rgs4r 249 11 of of IN cord-017142-vx3rgs4r 249 12 corticosteroids corticosteroid NNS cord-017142-vx3rgs4r 249 13 [ [ -LRB- cord-017142-vx3rgs4r 249 14 27 27 CD cord-017142-vx3rgs4r 249 15 , , , cord-017142-vx3rgs4r 249 16 65 65 CD cord-017142-vx3rgs4r 249 17 , , , cord-017142-vx3rgs4r 249 18 129 129 CD cord-017142-vx3rgs4r 249 19 ] ] -RRB- cord-017142-vx3rgs4r 249 20 . . . cord-017142-vx3rgs4r 250 1 With with IN cord-017142-vx3rgs4r 250 2 its -PRON- PRP$ cord-017142-vx3rgs4r 250 3 anti anti JJ cord-017142-vx3rgs4r 250 4 - - JJ cord-017142-vx3rgs4r 250 5 MM mm JJ cord-017142-vx3rgs4r 250 6 effect effect NN cord-017142-vx3rgs4r 250 7 , , , cord-017142-vx3rgs4r 250 8 adding add VBG cord-017142-vx3rgs4r 250 9 corticosteroids corticosteroid NNS cord-017142-vx3rgs4r 250 10 can can MD cord-017142-vx3rgs4r 250 11 add add VB cord-017142-vx3rgs4r 250 12 to to IN cord-017142-vx3rgs4r 250 13 the the DT cord-017142-vx3rgs4r 250 14 synergy synergy NN cord-017142-vx3rgs4r 250 15 to to IN cord-017142-vx3rgs4r 250 16 this this DT cord-017142-vx3rgs4r 250 17 combination combination NN cord-017142-vx3rgs4r 250 18 in in IN cord-017142-vx3rgs4r 250 19 the the DT cord-017142-vx3rgs4r 250 20 treatment treatment NN cord-017142-vx3rgs4r 250 21 of of IN cord-017142-vx3rgs4r 250 22 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 250 23 . . . cord-017142-vx3rgs4r 251 1 The the DT cord-017142-vx3rgs4r 251 2 role role NN cord-017142-vx3rgs4r 251 3 of of IN cord-017142-vx3rgs4r 251 4 steroids steroid NNS cord-017142-vx3rgs4r 251 5 in in IN cord-017142-vx3rgs4r 251 6 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 251 7 of of IN cord-017142-vx3rgs4r 251 8 malignancy malignancy NN cord-017142-vx3rgs4r 251 9 comes come VBZ cord-017142-vx3rgs4r 251 10 from from IN cord-017142-vx3rgs4r 251 11 case case NN cord-017142-vx3rgs4r 251 12 reports report NNS cord-017142-vx3rgs4r 251 13 and and CC cord-017142-vx3rgs4r 251 14 case case NN cord-017142-vx3rgs4r 251 15 series series NN cord-017142-vx3rgs4r 251 16 . . . cord-017142-vx3rgs4r 252 1 Corticosteroids corticosteroid NNS cord-017142-vx3rgs4r 252 2 decrease decrease VBP cord-017142-vx3rgs4r 252 3 calcium calcium NN cord-017142-vx3rgs4r 252 4 absorption absorption NN cord-017142-vx3rgs4r 252 5 from from IN cord-017142-vx3rgs4r 252 6 the the DT cord-017142-vx3rgs4r 252 7 gut gut NN cord-017142-vx3rgs4r 252 8 , , , cord-017142-vx3rgs4r 252 9 decrease decrease VB cord-017142-vx3rgs4r 252 10 renal renal JJ cord-017142-vx3rgs4r 252 11 tubular tubular JJ cord-017142-vx3rgs4r 252 12 reabsorption reabsorption NN cord-017142-vx3rgs4r 252 13 , , , cord-017142-vx3rgs4r 252 14 and and CC cord-017142-vx3rgs4r 252 15 promote promote VB cord-017142-vx3rgs4r 252 16 excretion excretion NN cord-017142-vx3rgs4r 252 17 [ [ -LRB- cord-017142-vx3rgs4r 252 18 24 24 CD cord-017142-vx3rgs4r 252 19 , , , cord-017142-vx3rgs4r 252 20 39 39 CD cord-017142-vx3rgs4r 252 21 ] ] -RRB- cord-017142-vx3rgs4r 252 22 . . . cord-017142-vx3rgs4r 253 1 Prednisone Prednisone NNP cord-017142-vx3rgs4r 253 2 ( ( -LRB- cord-017142-vx3rgs4r 253 3 dose dose NN cord-017142-vx3rgs4r 253 4 of of IN cord-017142-vx3rgs4r 253 5 20 20 CD cord-017142-vx3rgs4r 253 6 - - SYM cord-017142-vx3rgs4r 253 7 40 40 CD cord-017142-vx3rgs4r 253 8 mg mg NNP cord-017142-vx3rgs4r 253 9 / / SYM cord-017142-vx3rgs4r 253 10 day day NN cord-017142-vx3rgs4r 253 11 ) ) -RRB- cord-017142-vx3rgs4r 253 12 or or CC cord-017142-vx3rgs4r 253 13 IV IV NNP cord-017142-vx3rgs4r 253 14 hydrocortisone hydrocortisone NNP cord-017142-vx3rgs4r 253 15 ( ( -LRB- cord-017142-vx3rgs4r 253 16 dose dose NN cord-017142-vx3rgs4r 253 17 of of IN cord-017142-vx3rgs4r 253 18 200 200 CD cord-017142-vx3rgs4r 253 19 - - SYM cord-017142-vx3rgs4r 253 20 300 300 CD cord-017142-vx3rgs4r 253 21 mg mg NNP cord-017142-vx3rgs4r 253 22 / / SYM cord-017142-vx3rgs4r 253 23 day day NN cord-017142-vx3rgs4r 253 24 ) ) -RRB- cord-017142-vx3rgs4r 253 25 for for IN cord-017142-vx3rgs4r 253 26 3 3 CD cord-017142-vx3rgs4r 253 27 - - SYM cord-017142-vx3rgs4r 253 28 5 5 CD cord-017142-vx3rgs4r 253 29 days day NNS cord-017142-vx3rgs4r 253 30 is be VBZ cord-017142-vx3rgs4r 253 31 usually usually RB cord-017142-vx3rgs4r 253 32 used use VBN cord-017142-vx3rgs4r 253 33 in in IN cord-017142-vx3rgs4r 253 34 this this DT cord-017142-vx3rgs4r 253 35 setting setting NN cord-017142-vx3rgs4r 253 36 . . . cord-017142-vx3rgs4r 254 1 This this DT cord-017142-vx3rgs4r 254 2 dose dose NN cord-017142-vx3rgs4r 254 3 , , , cord-017142-vx3rgs4r 254 4 which which WDT cord-017142-vx3rgs4r 254 5 is be VBZ cord-017142-vx3rgs4r 254 6 effective effective JJ cord-017142-vx3rgs4r 254 7 in in IN cord-017142-vx3rgs4r 254 8 patients patient NNS cord-017142-vx3rgs4r 254 9 with with IN cord-017142-vx3rgs4r 254 10 chronic chronic JJ cord-017142-vx3rgs4r 254 11 granulomatous granulomatous JJ cord-017142-vx3rgs4r 254 12 diseases disease NNS cord-017142-vx3rgs4r 254 13 ( ( -LRB- cord-017142-vx3rgs4r 254 14 e.g. e.g. RB cord-017142-vx3rgs4r 254 15 , , , cord-017142-vx3rgs4r 254 16 sarcoidosis sarcoidosis NN cord-017142-vx3rgs4r 254 17 ) ) -RRB- cord-017142-vx3rgs4r 254 18 and and CC cord-017142-vx3rgs4r 254 19 malignancies malignancy NNS cord-017142-vx3rgs4r 254 20 such such JJ cord-017142-vx3rgs4r 254 21 as as IN cord-017142-vx3rgs4r 254 22 lymphoma lymphoma NN cord-017142-vx3rgs4r 254 23 , , , cord-017142-vx3rgs4r 254 24 may may MD cord-017142-vx3rgs4r 254 25 be be VB cord-017142-vx3rgs4r 254 26 suboptimal suboptimal JJ cord-017142-vx3rgs4r 254 27 for for IN cord-017142-vx3rgs4r 254 28 patients patient NNS cord-017142-vx3rgs4r 254 29 with with IN cord-017142-vx3rgs4r 254 30 MM MM NNP cord-017142-vx3rgs4r 254 31 due due IN cord-017142-vx3rgs4r 254 32 to to IN cord-017142-vx3rgs4r 254 33 the the DT cord-017142-vx3rgs4r 254 34 direct direct JJ cord-017142-vx3rgs4r 254 35 osteolytic osteolytic JJ cord-017142-vx3rgs4r 254 36 action action NN cord-017142-vx3rgs4r 254 37 of of IN cord-017142-vx3rgs4r 254 38 MM MM NNP cord-017142-vx3rgs4r 254 39 cells cell NNS cord-017142-vx3rgs4r 254 40 . . . cord-017142-vx3rgs4r 255 1 If if IN cord-017142-vx3rgs4r 255 2 clinical clinical JJ cord-017142-vx3rgs4r 255 3 status status NN cord-017142-vx3rgs4r 255 4 permits permit NNS cord-017142-vx3rgs4r 255 5 , , , cord-017142-vx3rgs4r 255 6 dexamethasone dexamethasone NN cord-017142-vx3rgs4r 255 7 should should MD cord-017142-vx3rgs4r 255 8 be be VB cord-017142-vx3rgs4r 255 9 considered consider VBN cord-017142-vx3rgs4r 255 10 at at IN cord-017142-vx3rgs4r 255 11 MM MM NNP cord-017142-vx3rgs4r 255 12 treatment treatment NN cord-017142-vx3rgs4r 255 13 doses dose NNS cord-017142-vx3rgs4r 255 14 ranging range VBG cord-017142-vx3rgs4r 255 15 from from IN cord-017142-vx3rgs4r 255 16 20 20 CD cord-017142-vx3rgs4r 255 17 to to TO cord-017142-vx3rgs4r 255 18 40 40 CD cord-017142-vx3rgs4r 255 19 mg mg NNP cord-017142-vx3rgs4r 255 20 weekly weekly NN cord-017142-vx3rgs4r 255 21 or or CC cord-017142-vx3rgs4r 255 22 20 20 CD cord-017142-vx3rgs4r 255 23 to to TO cord-017142-vx3rgs4r 255 24 40 40 CD cord-017142-vx3rgs4r 255 25 mg mg NNS cord-017142-vx3rgs4r 255 26 daily daily RB cord-017142-vx3rgs4r 255 27 on on IN cord-017142-vx3rgs4r 255 28 a a DT cord-017142-vx3rgs4r 255 29 4 4 CD cord-017142-vx3rgs4r 255 30 days day NNS cord-017142-vx3rgs4r 255 31 on on RB cord-017142-vx3rgs4r 255 32 , , , cord-017142-vx3rgs4r 255 33 4 4 CD cord-017142-vx3rgs4r 255 34 days day NNS cord-017142-vx3rgs4r 255 35 off off IN cord-017142-vx3rgs4r 255 36 schedule schedule NN cord-017142-vx3rgs4r 255 37 . . . cord-017142-vx3rgs4r 256 1 Intravenous intravenous JJ cord-017142-vx3rgs4r 256 2 bisphosphonates bisphosphonate NNS cord-017142-vx3rgs4r 256 3 ( ( -LRB- cord-017142-vx3rgs4r 256 4 pamidronate pamidronate NNP cord-017142-vx3rgs4r 256 5 , , , cord-017142-vx3rgs4r 256 6 zoledronic zoledronic NNP cord-017142-vx3rgs4r 256 7 acid acid NN cord-017142-vx3rgs4r 256 8 , , , cord-017142-vx3rgs4r 256 9 ibandronate ibandronate NNP cord-017142-vx3rgs4r 256 10 ) ) -RRB- cord-017142-vx3rgs4r 256 11 work work NN cord-017142-vx3rgs4r 256 12 by by IN cord-017142-vx3rgs4r 256 13 blocking block VBG cord-017142-vx3rgs4r 256 14 osteoclast osteoclast NN cord-017142-vx3rgs4r 256 15 - - HYPH cord-017142-vx3rgs4r 256 16 mediated mediate VBN cord-017142-vx3rgs4r 256 17 bone bone NN cord-017142-vx3rgs4r 256 18 resorption resorption NN cord-017142-vx3rgs4r 256 19 . . . cord-017142-vx3rgs4r 257 1 Intravenous intravenous JJ cord-017142-vx3rgs4r 257 2 zoledronic zoledronic NN cord-017142-vx3rgs4r 257 3 acid acid NN cord-017142-vx3rgs4r 257 4 is be VBZ cord-017142-vx3rgs4r 257 5 more more RBR cord-017142-vx3rgs4r 257 6 routinely routinely RB cord-017142-vx3rgs4r 257 7 used use VBN cord-017142-vx3rgs4r 257 8 than than IN cord-017142-vx3rgs4r 257 9 other other JJ cord-017142-vx3rgs4r 257 10 drugs drug NNS cord-017142-vx3rgs4r 257 11 in in IN cord-017142-vx3rgs4r 257 12 this this DT cord-017142-vx3rgs4r 257 13 category category NN cord-017142-vx3rgs4r 257 14 due due IN cord-017142-vx3rgs4r 257 15 to to IN cord-017142-vx3rgs4r 257 16 its -PRON- PRP$ cord-017142-vx3rgs4r 257 17 higher high JJR cord-017142-vx3rgs4r 257 18 potency potency NN cord-017142-vx3rgs4r 257 19 , , , cord-017142-vx3rgs4r 257 20 efficacy efficacy NN cord-017142-vx3rgs4r 257 21 , , , cord-017142-vx3rgs4r 257 22 and and CC cord-017142-vx3rgs4r 257 23 shorter short JJR cord-017142-vx3rgs4r 257 24 infusion infusion NN cord-017142-vx3rgs4r 257 25 time time NN cord-017142-vx3rgs4r 257 26 ( ( -LRB- cord-017142-vx3rgs4r 257 27 15 15 CD cord-017142-vx3rgs4r 257 28 min min NNP cord-017142-vx3rgs4r 257 29 ) ) -RRB- cord-017142-vx3rgs4r 257 30 , , , cord-017142-vx3rgs4r 257 31 when when WRB cord-017142-vx3rgs4r 257 32 compared compare VBN cord-017142-vx3rgs4r 257 33 to to IN cord-017142-vx3rgs4r 257 34 ibandronate ibandronate VB cord-017142-vx3rgs4r 257 35 and and CC cord-017142-vx3rgs4r 257 36 pamidronate pamidronate VB cord-017142-vx3rgs4r 257 37 [ [ -LRB- cord-017142-vx3rgs4r 257 38 76 76 CD cord-017142-vx3rgs4r 257 39 , , , cord-017142-vx3rgs4r 257 40 96 96 CD cord-017142-vx3rgs4r 257 41 , , , cord-017142-vx3rgs4r 257 42 97 97 CD cord-017142-vx3rgs4r 257 43 , , , cord-017142-vx3rgs4r 257 44 111 111 CD cord-017142-vx3rgs4r 257 45 ] ] -RRB- cord-017142-vx3rgs4r 257 46 . . . cord-017142-vx3rgs4r 258 1 Bisphosphonates Bisphosphonates NNP cord-017142-vx3rgs4r 258 2 have have VBP cord-017142-vx3rgs4r 258 3 an an DT cord-017142-vx3rgs4r 258 4 established establish VBN cord-017142-vx3rgs4r 258 5 role role NN cord-017142-vx3rgs4r 258 6 in in IN cord-017142-vx3rgs4r 258 7 severe severe JJ cord-017142-vx3rgs4r 258 8 or or CC cord-017142-vx3rgs4r 258 9 symptomatic symptomatic JJ cord-017142-vx3rgs4r 258 10 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 258 11 , , , cord-017142-vx3rgs4r 258 12 but but CC cord-017142-vx3rgs4r 258 13 often often RB cord-017142-vx3rgs4r 258 14 it -PRON- PRP cord-017142-vx3rgs4r 258 15 is be VBZ cord-017142-vx3rgs4r 258 16 challenging challenge VBG cord-017142-vx3rgs4r 258 17 to to TO cord-017142-vx3rgs4r 258 18 administer administer VB cord-017142-vx3rgs4r 258 19 them -PRON- PRP cord-017142-vx3rgs4r 258 20 upfront upfront JJ cord-017142-vx3rgs4r 258 21 for for IN cord-017142-vx3rgs4r 258 22 MM MM NNP cord-017142-vx3rgs4r 258 23 patients patient NNS cord-017142-vx3rgs4r 258 24 due due JJ cord-017142-vx3rgs4r 258 25 to to IN cord-017142-vx3rgs4r 258 26 the the DT cord-017142-vx3rgs4r 258 27 renal renal JJ cord-017142-vx3rgs4r 258 28 function function NN cord-017142-vx3rgs4r 258 29 - - HYPH cord-017142-vx3rgs4r 258 30 based base VBN cord-017142-vx3rgs4r 258 31 dose dose NN cord-017142-vx3rgs4r 258 32 limitation limitation NN cord-017142-vx3rgs4r 258 33 [ [ -LRB- cord-017142-vx3rgs4r 258 34 19 19 CD cord-017142-vx3rgs4r 258 35 ] ] -RRB- cord-017142-vx3rgs4r 258 36 . . . cord-017142-vx3rgs4r 259 1 It -PRON- PRP cord-017142-vx3rgs4r 259 2 also also RB cord-017142-vx3rgs4r 259 3 has have VBZ cord-017142-vx3rgs4r 259 4 slow slow JJ cord-017142-vx3rgs4r 259 5 onset onset NN cord-017142-vx3rgs4r 259 6 of of IN cord-017142-vx3rgs4r 259 7 action action NN cord-017142-vx3rgs4r 259 8 and and CC cord-017142-vx3rgs4r 259 9 reaches reach VBZ cord-017142-vx3rgs4r 259 10 peak peak NN cord-017142-vx3rgs4r 259 11 in in IN cord-017142-vx3rgs4r 259 12 about about RB cord-017142-vx3rgs4r 259 13 2 2 CD cord-017142-vx3rgs4r 259 14 - - SYM cord-017142-vx3rgs4r 259 15 5 5 CD cord-017142-vx3rgs4r 259 16 days day NNS cord-017142-vx3rgs4r 259 17 ; ; : cord-017142-vx3rgs4r 259 18 therefore therefore RB cord-017142-vx3rgs4r 259 19 it -PRON- PRP cord-017142-vx3rgs4r 259 20 needs need VBZ cord-017142-vx3rgs4r 259 21 to to TO cord-017142-vx3rgs4r 259 22 be be VB cord-017142-vx3rgs4r 259 23 used use VBN cord-017142-vx3rgs4r 259 24 in in IN cord-017142-vx3rgs4r 259 25 a a DT cord-017142-vx3rgs4r 259 26 combinatorial combinatorial JJ cord-017142-vx3rgs4r 259 27 approach approach NN cord-017142-vx3rgs4r 259 28 . . . cord-017142-vx3rgs4r 260 1 Denosumab Denosumab NNP cord-017142-vx3rgs4r 260 2 , , , cord-017142-vx3rgs4r 260 3 on on IN cord-017142-vx3rgs4r 260 4 the the DT cord-017142-vx3rgs4r 260 5 other other JJ cord-017142-vx3rgs4r 260 6 hand hand NN cord-017142-vx3rgs4r 260 7 , , , cord-017142-vx3rgs4r 260 8 has have VBZ cord-017142-vx3rgs4r 260 9 a a DT cord-017142-vx3rgs4r 260 10 renally renally NN cord-017142-vx3rgs4r 260 11 independent independent JJ cord-017142-vx3rgs4r 260 12 clearance clearance NN cord-017142-vx3rgs4r 260 13 mechanism mechanism NN cord-017142-vx3rgs4r 260 14 and and CC cord-017142-vx3rgs4r 260 15 hence hence RB cord-017142-vx3rgs4r 260 16 does do VBZ cord-017142-vx3rgs4r 260 17 not not RB cord-017142-vx3rgs4r 260 18 require require VB cord-017142-vx3rgs4r 260 19 kidney kidney NN cord-017142-vx3rgs4r 260 20 functionbased functionbase VBN cord-017142-vx3rgs4r 260 21 dosing dosing NN cord-017142-vx3rgs4r 260 22 adjustments adjustment NNS cord-017142-vx3rgs4r 260 23 . . . cord-017142-vx3rgs4r 261 1 It -PRON- PRP cord-017142-vx3rgs4r 261 2 is be VBZ cord-017142-vx3rgs4r 261 3 currently currently RB cord-017142-vx3rgs4r 261 4 FDA FDA NNP cord-017142-vx3rgs4r 261 5 approved approve VBN cord-017142-vx3rgs4r 261 6 to to TO cord-017142-vx3rgs4r 261 7 treat treat VB cord-017142-vx3rgs4r 261 8 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 261 9 of of IN cord-017142-vx3rgs4r 261 10 malignancy malignancy NN cord-017142-vx3rgs4r 261 11 refractory refractory JJ cord-017142-vx3rgs4r 261 12 to to IN cord-017142-vx3rgs4r 261 13 bisphosphonate bisphosphonate NNP cord-017142-vx3rgs4r 261 14 therapy therapy NN cord-017142-vx3rgs4r 261 15 and and CC cord-017142-vx3rgs4r 261 16 is be VBZ cord-017142-vx3rgs4r 261 17 dosed dose VBN cord-017142-vx3rgs4r 261 18 at at IN cord-017142-vx3rgs4r 261 19 120 120 CD cord-017142-vx3rgs4r 261 20 mg mg NNP cord-017142-vx3rgs4r 261 21 subcutaneous subcutaneous JJ cord-017142-vx3rgs4r 261 22 injection injection NN cord-017142-vx3rgs4r 261 23 every every DT cord-017142-vx3rgs4r 261 24 4 4 CD cord-017142-vx3rgs4r 261 25 weeks week NNS cord-017142-vx3rgs4r 261 26 with with IN cord-017142-vx3rgs4r 261 27 additional additional JJ cord-017142-vx3rgs4r 261 28 doses dose NNS cord-017142-vx3rgs4r 261 29 of of IN cord-017142-vx3rgs4r 261 30 120 120 CD cord-017142-vx3rgs4r 261 31 mg mg NNS cord-017142-vx3rgs4r 261 32 on on IN cord-017142-vx3rgs4r 261 33 days day NNS cord-017142-vx3rgs4r 261 34 8 8 CD cord-017142-vx3rgs4r 261 35 and and CC cord-017142-vx3rgs4r 261 36 15 15 CD cord-017142-vx3rgs4r 261 37 of of IN cord-017142-vx3rgs4r 261 38 the the DT cord-017142-vx3rgs4r 261 39 first first JJ cord-017142-vx3rgs4r 261 40 month month NN cord-017142-vx3rgs4r 261 41 of of IN cord-017142-vx3rgs4r 261 42 therapy therapy NN cord-017142-vx3rgs4r 261 43 [ [ -LRB- cord-017142-vx3rgs4r 261 44 37 37 CD cord-017142-vx3rgs4r 261 45 , , , cord-017142-vx3rgs4r 261 46 50 50 CD cord-017142-vx3rgs4r 261 47 ] ] -RRB- cord-017142-vx3rgs4r 261 48 . . . cord-017142-vx3rgs4r 262 1 Mithramycin Mithramycin NNS cord-017142-vx3rgs4r 262 2 and and CC cord-017142-vx3rgs4r 262 3 gallium gallium NN cord-017142-vx3rgs4r 262 4 nitrate nitrate NN cord-017142-vx3rgs4r 262 5 are be VBP cord-017142-vx3rgs4r 262 6 drugs drug NNS cord-017142-vx3rgs4r 262 7 of of IN cord-017142-vx3rgs4r 262 8 historical historical JJ cord-017142-vx3rgs4r 262 9 interest interest NN cord-017142-vx3rgs4r 262 10 and and CC cord-017142-vx3rgs4r 262 11 are be VBP cord-017142-vx3rgs4r 262 12 not not RB cord-017142-vx3rgs4r 262 13 currently currently RB cord-017142-vx3rgs4r 262 14 used use VBN cord-017142-vx3rgs4r 262 15 in in IN cord-017142-vx3rgs4r 262 16 the the DT cord-017142-vx3rgs4r 262 17 standard standard JJ cord-017142-vx3rgs4r 262 18 setting setting NN cord-017142-vx3rgs4r 262 19 . . . cord-017142-vx3rgs4r 263 1 In in IN cord-017142-vx3rgs4r 263 2 refractory refractory JJ cord-017142-vx3rgs4r 263 3 cases case NNS cord-017142-vx3rgs4r 263 4 of of IN cord-017142-vx3rgs4r 263 5 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 263 6 seen see VBN cord-017142-vx3rgs4r 263 7 in in IN cord-017142-vx3rgs4r 263 8 advanced advanced JJ cord-017142-vx3rgs4r 263 9 MM mm NN cord-017142-vx3rgs4r 263 10 and and CC cord-017142-vx3rgs4r 263 11 kidney kidney NN cord-017142-vx3rgs4r 263 12 involvement involvement NN cord-017142-vx3rgs4r 263 13 , , , cord-017142-vx3rgs4r 263 14 with with IN cord-017142-vx3rgs4r 263 15 impending impending JJ cord-017142-vx3rgs4r 263 16 cardiovascular cardiovascular JJ cord-017142-vx3rgs4r 263 17 or or CC cord-017142-vx3rgs4r 263 18 cerebrovascular cerebrovascular JJ cord-017142-vx3rgs4r 263 19 deterioration deterioration NN cord-017142-vx3rgs4r 263 20 , , , cord-017142-vx3rgs4r 263 21 hemodialysis hemodialysis NN cord-017142-vx3rgs4r 264 1 Ca ca NN cord-017142-vx3rgs4r 264 2 2 2 CD cord-017142-vx3rgs4r 264 3 + + CD cord-017142-vx3rgs4r 265 1 -free -free CD cord-017142-vx3rgs4r 265 2 dialysate dialysate NNP cord-017142-vx3rgs4r 265 3 should should MD cord-017142-vx3rgs4r 265 4 be be VB cord-017142-vx3rgs4r 265 5 strongly strongly RB cord-017142-vx3rgs4r 265 6 considered consider VBN cord-017142-vx3rgs4r 265 7 . . . cord-017142-vx3rgs4r 266 1 Tumor tumor NN cord-017142-vx3rgs4r 266 2 lysis lysis NN cord-017142-vx3rgs4r 266 3 syndrome syndrome NN cord-017142-vx3rgs4r 266 4 : : : cord-017142-vx3rgs4r 266 5 Due due IN cord-017142-vx3rgs4r 266 6 to to IN cord-017142-vx3rgs4r 266 7 the the DT cord-017142-vx3rgs4r 266 8 low low JJ cord-017142-vx3rgs4r 266 9 proliferative proliferative JJ cord-017142-vx3rgs4r 266 10 activity activity NN cord-017142-vx3rgs4r 266 11 of of IN cord-017142-vx3rgs4r 266 12 plasma plasma NN cord-017142-vx3rgs4r 266 13 cells cell NNS cord-017142-vx3rgs4r 266 14 which which WDT cord-017142-vx3rgs4r 266 15 is be VBZ cord-017142-vx3rgs4r 266 16 < < NNP cord-017142-vx3rgs4r 266 17 10 10 CD cord-017142-vx3rgs4r 266 18 % % NN cord-017142-vx3rgs4r 266 19 in in IN cord-017142-vx3rgs4r 266 20 majority majority NN cord-017142-vx3rgs4r 266 21 of of IN cord-017142-vx3rgs4r 266 22 patients patient NNS cord-017142-vx3rgs4r 266 23 , , , cord-017142-vx3rgs4r 266 24 TLS TLS NNP cord-017142-vx3rgs4r 266 25 is be VBZ cord-017142-vx3rgs4r 266 26 extremely extremely RB cord-017142-vx3rgs4r 266 27 uncommon uncommon JJ cord-017142-vx3rgs4r 266 28 in in IN cord-017142-vx3rgs4r 266 29 MM MM NNP cord-017142-vx3rgs4r 266 30 [ [ -LRB- cord-017142-vx3rgs4r 266 31 18 18 CD cord-017142-vx3rgs4r 266 32 , , , cord-017142-vx3rgs4r 266 33 79 79 CD cord-017142-vx3rgs4r 266 34 ] ] -RRB- cord-017142-vx3rgs4r 266 35 . . . cord-017142-vx3rgs4r 267 1 MM MM NNP cord-017142-vx3rgs4r 267 2 patients patient NNS cord-017142-vx3rgs4r 267 3 who who WP cord-017142-vx3rgs4r 267 4 are be VBP cord-017142-vx3rgs4r 267 5 likely likely JJ cord-017142-vx3rgs4r 267 6 to to TO cord-017142-vx3rgs4r 267 7 be be VB cord-017142-vx3rgs4r 267 8 at at IN cord-017142-vx3rgs4r 267 9 risk risk NN cord-017142-vx3rgs4r 267 10 are be VBP cord-017142-vx3rgs4r 267 11 patients patient NNS cord-017142-vx3rgs4r 267 12 with with IN cord-017142-vx3rgs4r 267 13 high high JJ cord-017142-vx3rgs4r 267 14 tumor tumor NN cord-017142-vx3rgs4r 267 15 burden burden NN cord-017142-vx3rgs4r 267 16 ( ( -LRB- cord-017142-vx3rgs4r 267 17 as as IN cord-017142-vx3rgs4r 267 18 noted note VBN cord-017142-vx3rgs4r 267 19 by by IN cord-017142-vx3rgs4r 267 20 an an DT cord-017142-vx3rgs4r 267 21 increased increase VBN cord-017142-vx3rgs4r 267 22 serum serum NN cord-017142-vx3rgs4r 267 23 lactate lactate NN cord-017142-vx3rgs4r 267 24 dehydrogenase dehydrogenase NN cord-017142-vx3rgs4r 267 25 and and CC cord-017142-vx3rgs4r 267 26 beta-2 beta-2 NN cord-017142-vx3rgs4r 267 27 microglobulin microglobulin NN cord-017142-vx3rgs4r 267 28 ) ) -RRB- cord-017142-vx3rgs4r 267 29 , , , cord-017142-vx3rgs4r 267 30 diffuse diffuse VB cord-017142-vx3rgs4r 267 31 bone bone NN cord-017142-vx3rgs4r 267 32 marrow marrow NN cord-017142-vx3rgs4r 267 33 disease disease NN cord-017142-vx3rgs4r 267 34 ( ( -LRB- cord-017142-vx3rgs4r 267 35 plasma plasma NN cord-017142-vx3rgs4r 267 36 cells cell NNS cord-017142-vx3rgs4r 267 37 > > XX cord-017142-vx3rgs4r 267 38 70 70 CD cord-017142-vx3rgs4r 267 39 % % NN cord-017142-vx3rgs4r 267 40 of of IN cord-017142-vx3rgs4r 267 41 all all DT cord-017142-vx3rgs4r 267 42 nucleated nucleated JJ cord-017142-vx3rgs4r 267 43 cells cell NNS cord-017142-vx3rgs4r 267 44 as as IN cord-017142-vx3rgs4r 267 45 per per IN cord-017142-vx3rgs4r 267 46 a a DT cord-017142-vx3rgs4r 267 47 case case NN cord-017142-vx3rgs4r 267 48 series series NN cord-017142-vx3rgs4r 267 49 ) ) -RRB- cord-017142-vx3rgs4r 267 50 , , , cord-017142-vx3rgs4r 267 51 extensive extensive JJ cord-017142-vx3rgs4r 267 52 skeletal skeletal JJ cord-017142-vx3rgs4r 267 53 involvement involvement NN cord-017142-vx3rgs4r 267 54 , , , cord-017142-vx3rgs4r 267 55 high high JJ cord-017142-vx3rgs4r 267 56 - - HYPH cord-017142-vx3rgs4r 267 57 risk risk NN cord-017142-vx3rgs4r 267 58 cytogenetics cytogenetic NNS cord-017142-vx3rgs4r 267 59 , , , cord-017142-vx3rgs4r 267 60 and and CC cord-017142-vx3rgs4r 267 61 plasmablastic plasmablastic JJ cord-017142-vx3rgs4r 267 62 morphology morphology NN cord-017142-vx3rgs4r 267 63 [ [ -LRB- cord-017142-vx3rgs4r 267 64 35 35 CD cord-017142-vx3rgs4r 267 65 , , , cord-017142-vx3rgs4r 267 66 46 46 CD cord-017142-vx3rgs4r 267 67 ] ] -RRB- cord-017142-vx3rgs4r 267 68 . . . cord-017142-vx3rgs4r 268 1 There there EX cord-017142-vx3rgs4r 268 2 are be VBP cord-017142-vx3rgs4r 268 3 reports report NNS cord-017142-vx3rgs4r 268 4 of of IN cord-017142-vx3rgs4r 268 5 bortezomib bortezomib NNP cord-017142-vx3rgs4r 268 6 , , , cord-017142-vx3rgs4r 268 7 thalidomide thalidomide NN cord-017142-vx3rgs4r 268 8 , , , cord-017142-vx3rgs4r 268 9 and and CC cord-017142-vx3rgs4r 268 10 steroid steroid NN cord-017142-vx3rgs4r 268 11 associated associate VBD cord-017142-vx3rgs4r 268 12 TLS TLS NNP cord-017142-vx3rgs4r 268 13 [ [ -LRB- cord-017142-vx3rgs4r 268 14 23 23 CD cord-017142-vx3rgs4r 268 15 , , , cord-017142-vx3rgs4r 268 16 38 38 CD cord-017142-vx3rgs4r 268 17 ] ] -RRB- cord-017142-vx3rgs4r 268 18 . . . cord-017142-vx3rgs4r 269 1 Tumor tumor NN cord-017142-vx3rgs4r 269 2 lysis lysis NN cord-017142-vx3rgs4r 269 3 syndrome syndrome NN cord-017142-vx3rgs4r 269 4 manifests manifest VBZ cord-017142-vx3rgs4r 269 5 due due JJ cord-017142-vx3rgs4r 269 6 to to IN cord-017142-vx3rgs4r 269 7 lysis lysis NN cord-017142-vx3rgs4r 269 8 of of IN cord-017142-vx3rgs4r 269 9 massive massive JJ cord-017142-vx3rgs4r 269 10 numbers number NNS cord-017142-vx3rgs4r 269 11 of of IN cord-017142-vx3rgs4r 269 12 tumor tumor NN cord-017142-vx3rgs4r 269 13 cells cell NNS cord-017142-vx3rgs4r 269 14 releasing release VBG cord-017142-vx3rgs4r 269 15 intracellular intracellular JJ cord-017142-vx3rgs4r 269 16 potassium potassium NN cord-017142-vx3rgs4r 269 17 and and CC cord-017142-vx3rgs4r 269 18 phosphorous phosphorous JJ cord-017142-vx3rgs4r 269 19 causing cause VBG cord-017142-vx3rgs4r 269 20 hyperkalemia hyperkalemia NN cord-017142-vx3rgs4r 269 21 and and CC cord-017142-vx3rgs4r 269 22 hyperphosphatemia hyperphosphatemia NN cord-017142-vx3rgs4r 269 23 . . . cord-017142-vx3rgs4r 270 1 This this DT cord-017142-vx3rgs4r 270 2 causes cause VBZ cord-017142-vx3rgs4r 270 3 calcium calcium NN cord-017142-vx3rgs4r 270 4 to to TO cord-017142-vx3rgs4r 270 5 precipitate precipitate VB cord-017142-vx3rgs4r 270 6 as as IN cord-017142-vx3rgs4r 270 7 calcium calcium NN cord-017142-vx3rgs4r 270 8 phosphate phosphate NN cord-017142-vx3rgs4r 270 9 in in IN cord-017142-vx3rgs4r 270 10 tissues tissue NNS cord-017142-vx3rgs4r 270 11 causing cause VBG cord-017142-vx3rgs4r 270 12 secondary secondary JJ cord-017142-vx3rgs4r 270 13 hypocalcemia hypocalcemia NN cord-017142-vx3rgs4r 270 14 . . . cord-017142-vx3rgs4r 271 1 Hyperuricemia Hyperuricemia NNP cord-017142-vx3rgs4r 271 2 results result VBZ cord-017142-vx3rgs4r 271 3 from from IN cord-017142-vx3rgs4r 271 4 the the DT cord-017142-vx3rgs4r 271 5 breakdown breakdown NN cord-017142-vx3rgs4r 271 6 of of IN cord-017142-vx3rgs4r 271 7 nucleic nucleic JJ cord-017142-vx3rgs4r 271 8 acids acid NNS cord-017142-vx3rgs4r 271 9 in in IN cord-017142-vx3rgs4r 271 10 the the DT cord-017142-vx3rgs4r 271 11 tumor tumor NN cord-017142-vx3rgs4r 271 12 cells cell NNS cord-017142-vx3rgs4r 271 13 . . . cord-017142-vx3rgs4r 272 1 The the DT cord-017142-vx3rgs4r 272 2 resultant resultant JJ cord-017142-vx3rgs4r 272 3 metabolic metabolic JJ cord-017142-vx3rgs4r 272 4 derangement derangement NN cord-017142-vx3rgs4r 272 5 , , , cord-017142-vx3rgs4r 272 6 if if IN cord-017142-vx3rgs4r 272 7 left leave VBN cord-017142-vx3rgs4r 272 8 untreated untreated JJ cord-017142-vx3rgs4r 272 9 , , , cord-017142-vx3rgs4r 272 10 can can MD cord-017142-vx3rgs4r 272 11 progress progress VB cord-017142-vx3rgs4r 272 12 to to IN cord-017142-vx3rgs4r 272 13 kidney kidney NN cord-017142-vx3rgs4r 272 14 failure failure NN cord-017142-vx3rgs4r 272 15 , , , cord-017142-vx3rgs4r 272 16 mental mental JJ cord-017142-vx3rgs4r 272 17 status status NN cord-017142-vx3rgs4r 272 18 changes change NNS cord-017142-vx3rgs4r 272 19 , , , cord-017142-vx3rgs4r 272 20 seizures seizure NNS cord-017142-vx3rgs4r 272 21 , , , cord-017142-vx3rgs4r 272 22 arrhythmias arrhythmias RB cord-017142-vx3rgs4r 272 23 , , , cord-017142-vx3rgs4r 272 24 and and CC cord-017142-vx3rgs4r 272 25 even even RB cord-017142-vx3rgs4r 272 26 death death NN cord-017142-vx3rgs4r 272 27 . . . cord-017142-vx3rgs4r 273 1 Diagnosing diagnose VBG cord-017142-vx3rgs4r 273 2 TLS TLS NNP cord-017142-vx3rgs4r 273 3 can can MD cord-017142-vx3rgs4r 273 4 be be VB cord-017142-vx3rgs4r 273 5 challenging challenging JJ cord-017142-vx3rgs4r 273 6 in in IN cord-017142-vx3rgs4r 273 7 patients patient NNS cord-017142-vx3rgs4r 273 8 with with IN cord-017142-vx3rgs4r 273 9 MM MM NNP cord-017142-vx3rgs4r 273 10 due due IN cord-017142-vx3rgs4r 273 11 to to IN cord-017142-vx3rgs4r 273 12 its -PRON- PRP$ cord-017142-vx3rgs4r 273 13 uncommon uncommon JJ cord-017142-vx3rgs4r 273 14 association association NN cord-017142-vx3rgs4r 273 15 and and CC cord-017142-vx3rgs4r 273 16 often often RB cord-017142-vx3rgs4r 273 17 seen see VBN cord-017142-vx3rgs4r 273 18 associated associate VBN cord-017142-vx3rgs4r 273 19 renal renal JJ cord-017142-vx3rgs4r 273 20 insufficiency insufficiency NN cord-017142-vx3rgs4r 273 21 [ [ -LRB- cord-017142-vx3rgs4r 273 22 131 131 CD cord-017142-vx3rgs4r 273 23 ] ] -RRB- cord-017142-vx3rgs4r 273 24 . . . cord-017142-vx3rgs4r 274 1 It -PRON- PRP cord-017142-vx3rgs4r 274 2 is be VBZ cord-017142-vx3rgs4r 274 3 imperative imperative JJ cord-017142-vx3rgs4r 274 4 for for IN cord-017142-vx3rgs4r 274 5 clinicians clinician NNS cord-017142-vx3rgs4r 274 6 to to TO cord-017142-vx3rgs4r 274 7 be be VB cord-017142-vx3rgs4r 274 8 aware aware JJ cord-017142-vx3rgs4r 274 9 of of IN cord-017142-vx3rgs4r 274 10 this this DT cord-017142-vx3rgs4r 274 11 complication complication NN cord-017142-vx3rgs4r 274 12 in in IN cord-017142-vx3rgs4r 274 13 MM MM NNP cord-017142-vx3rgs4r 274 14 patients patient NNS cord-017142-vx3rgs4r 274 15 undergoing undergo VBG cord-017142-vx3rgs4r 274 16 treatment treatment NN cord-017142-vx3rgs4r 274 17 with with IN cord-017142-vx3rgs4r 274 18 novel novel JJ cord-017142-vx3rgs4r 274 19 combinations combination NNS cord-017142-vx3rgs4r 274 20 . . . cord-017142-vx3rgs4r 275 1 TLS TLS NNP cord-017142-vx3rgs4r 275 2 is be VBZ cord-017142-vx3rgs4r 275 3 managed manage VBN cord-017142-vx3rgs4r 275 4 with with IN cord-017142-vx3rgs4r 275 5 aggressive aggressive JJ cord-017142-vx3rgs4r 275 6 intravenous intravenous JJ cord-017142-vx3rgs4r 275 7 hydration hydration NN cord-017142-vx3rgs4r 275 8 , , , cord-017142-vx3rgs4r 275 9 rasburicase rasburicase NNP cord-017142-vx3rgs4r 275 10 , , , cord-017142-vx3rgs4r 275 11 allopurinol allopurinol NNP cord-017142-vx3rgs4r 275 12 , , , cord-017142-vx3rgs4r 275 13 and and CC cord-017142-vx3rgs4r 275 14 at at IN cord-017142-vx3rgs4r 275 15 times time NNS cord-017142-vx3rgs4r 275 16 sodium sodium NN cord-017142-vx3rgs4r 275 17 bicarbonate bicarbonate NN cord-017142-vx3rgs4r 275 18 . . . cord-017142-vx3rgs4r 276 1 Timely timely JJ cord-017142-vx3rgs4r 276 2 initiation initiation NN cord-017142-vx3rgs4r 276 3 of of IN cord-017142-vx3rgs4r 276 4 renal renal JJ cord-017142-vx3rgs4r 276 5 replacement replacement NN cord-017142-vx3rgs4r 276 6 therapy therapy NN cord-017142-vx3rgs4r 276 7 is be VBZ cord-017142-vx3rgs4r 276 8 paramount paramount JJ cord-017142-vx3rgs4r 276 9 in in IN cord-017142-vx3rgs4r 276 10 patients patient NNS cord-017142-vx3rgs4r 276 11 with with IN cord-017142-vx3rgs4r 276 12 lifethreatening lifethreatening JJ cord-017142-vx3rgs4r 276 13 electrolyte electrolyte JJ cord-017142-vx3rgs4r 276 14 disturbances disturbance NNS cord-017142-vx3rgs4r 276 15 . . . cord-017142-vx3rgs4r 277 1 Epidural epidural JJ cord-017142-vx3rgs4r 277 2 spinal spinal JJ cord-017142-vx3rgs4r 277 3 cord cord NN cord-017142-vx3rgs4r 277 4 compression compression NN cord-017142-vx3rgs4r 277 5 ( ( -LRB- cord-017142-vx3rgs4r 277 6 ESCC ESCC NNP cord-017142-vx3rgs4r 277 7 ) ) -RRB- cord-017142-vx3rgs4r 277 8 : : : cord-017142-vx3rgs4r 278 1 Acute acute JJ cord-017142-vx3rgs4r 278 2 emergencies emergency NNS cord-017142-vx3rgs4r 278 3 related relate VBN cord-017142-vx3rgs4r 278 4 to to IN cord-017142-vx3rgs4r 278 5 the the DT cord-017142-vx3rgs4r 278 6 nervous nervous JJ cord-017142-vx3rgs4r 278 7 system system NN cord-017142-vx3rgs4r 278 8 in in IN cord-017142-vx3rgs4r 278 9 MM MM NNP cord-017142-vx3rgs4r 278 10 are be VBP cord-017142-vx3rgs4r 278 11 mostly mostly RB cord-017142-vx3rgs4r 278 12 related related JJ cord-017142-vx3rgs4r 278 13 to to IN cord-017142-vx3rgs4r 278 14 ESCC ESCC NNP cord-017142-vx3rgs4r 278 15 . . . cord-017142-vx3rgs4r 279 1 Vertebral vertebral JJ cord-017142-vx3rgs4r 279 2 involvement involvement NN cord-017142-vx3rgs4r 279 3 is be VBZ cord-017142-vx3rgs4r 279 4 prevalent prevalent JJ cord-017142-vx3rgs4r 279 5 in in IN cord-017142-vx3rgs4r 279 6 60 60 CD cord-017142-vx3rgs4r 279 7 - - SYM cord-017142-vx3rgs4r 279 8 80 80 CD cord-017142-vx3rgs4r 279 9 % % NN cord-017142-vx3rgs4r 279 10 of of IN cord-017142-vx3rgs4r 279 11 MM MM NNP cord-017142-vx3rgs4r 279 12 patients patient NNS cord-017142-vx3rgs4r 279 13 , , , cord-017142-vx3rgs4r 279 14 and and CC cord-017142-vx3rgs4r 279 15 ESCC ESCC NNP cord-017142-vx3rgs4r 279 16 is be VBZ cord-017142-vx3rgs4r 279 17 encountered encounter VBN cord-017142-vx3rgs4r 279 18 in in IN cord-017142-vx3rgs4r 279 19 approximately approximately RB cord-017142-vx3rgs4r 279 20 10 10 CD cord-017142-vx3rgs4r 279 21 - - SYM cord-017142-vx3rgs4r 279 22 20 20 CD cord-017142-vx3rgs4r 279 23 % % NN cord-017142-vx3rgs4r 279 24 of of IN cord-017142-vx3rgs4r 279 25 patients patient NNS cord-017142-vx3rgs4r 279 26 either either CC cord-017142-vx3rgs4r 279 27 at at IN cord-017142-vx3rgs4r 279 28 presentation presentation NN cord-017142-vx3rgs4r 279 29 or or CC cord-017142-vx3rgs4r 279 30 during during IN cord-017142-vx3rgs4r 279 31 the the DT cord-017142-vx3rgs4r 279 32 course course NN cord-017142-vx3rgs4r 279 33 of of IN cord-017142-vx3rgs4r 279 34 disease disease NN cord-017142-vx3rgs4r 279 35 [ [ -LRB- cord-017142-vx3rgs4r 279 36 64 64 CD cord-017142-vx3rgs4r 279 37 , , , cord-017142-vx3rgs4r 279 38 130 130 CD cord-017142-vx3rgs4r 279 39 ] ] -RRB- cord-017142-vx3rgs4r 279 40 . . . cord-017142-vx3rgs4r 280 1 The the DT cord-017142-vx3rgs4r 280 2 compression compression NN cord-017142-vx3rgs4r 280 3 usually usually RB cord-017142-vx3rgs4r 280 4 results result VBZ cord-017142-vx3rgs4r 280 5 from from IN cord-017142-vx3rgs4r 280 6 vertebral vertebral JJ cord-017142-vx3rgs4r 280 7 fractures fracture NNS cord-017142-vx3rgs4r 280 8 caused cause VBN cord-017142-vx3rgs4r 280 9 by by IN cord-017142-vx3rgs4r 280 10 osteolytic osteolytic JJ cord-017142-vx3rgs4r 280 11 tumors tumor NNS cord-017142-vx3rgs4r 280 12 or or CC cord-017142-vx3rgs4r 280 13 malignant malignant JJ cord-017142-vx3rgs4r 280 14 osteoporosis osteoporosis NN cord-017142-vx3rgs4r 280 15 . . . cord-017142-vx3rgs4r 281 1 Very very RB cord-017142-vx3rgs4r 281 2 rarely rarely RB cord-017142-vx3rgs4r 281 3 , , , cord-017142-vx3rgs4r 281 4 it -PRON- PRP cord-017142-vx3rgs4r 281 5 has have VBZ cord-017142-vx3rgs4r 281 6 been be VBN cord-017142-vx3rgs4r 281 7 reported report VBN cord-017142-vx3rgs4r 281 8 due due IN cord-017142-vx3rgs4r 281 9 to to IN cord-017142-vx3rgs4r 281 10 extraosseous extraosseous JJ cord-017142-vx3rgs4r 281 11 epidural epidural NN cord-017142-vx3rgs4r 281 12 MM MM NNP cord-017142-vx3rgs4r 281 13 or or CC cord-017142-vx3rgs4r 281 14 from from IN cord-017142-vx3rgs4r 281 15 extradural extradural NNP cord-017142-vx3rgs4r 281 16 extension extension NN cord-017142-vx3rgs4r 281 17 of of IN cord-017142-vx3rgs4r 281 18 plasmacytoma plasmacytoma NNP cord-017142-vx3rgs4r 281 19 [ [ -LRB- cord-017142-vx3rgs4r 281 20 124 124 CD cord-017142-vx3rgs4r 281 21 ] ] -RRB- cord-017142-vx3rgs4r 281 22 . . . cord-017142-vx3rgs4r 282 1 In in IN cord-017142-vx3rgs4r 282 2 majority majority NN cord-017142-vx3rgs4r 282 3 of of IN cord-017142-vx3rgs4r 282 4 the the DT cord-017142-vx3rgs4r 282 5 cases case NNS cord-017142-vx3rgs4r 282 6 , , , cord-017142-vx3rgs4r 282 7 thoracic thoracic JJ cord-017142-vx3rgs4r 282 8 or or CC cord-017142-vx3rgs4r 282 9 lumbar lumbar JJ cord-017142-vx3rgs4r 282 10 spinal spinal JJ cord-017142-vx3rgs4r 282 11 cord cord NN cord-017142-vx3rgs4r 282 12 is be VBZ cord-017142-vx3rgs4r 282 13 involved involve VBN cord-017142-vx3rgs4r 282 14 ( ( -LRB- cord-017142-vx3rgs4r 282 15 > > NFP cord-017142-vx3rgs4r 282 16 80 80 CD cord-017142-vx3rgs4r 282 17 % % NN cord-017142-vx3rgs4r 282 18 ) ) -RRB- cord-017142-vx3rgs4r 282 19 [ [ -LRB- cord-017142-vx3rgs4r 282 20 31 31 CD cord-017142-vx3rgs4r 282 21 , , , cord-017142-vx3rgs4r 282 22 66 66 CD cord-017142-vx3rgs4r 282 23 ] ] -RRB- cord-017142-vx3rgs4r 282 24 . . . cord-017142-vx3rgs4r 283 1 It -PRON- PRP cord-017142-vx3rgs4r 283 2 is be VBZ cord-017142-vx3rgs4r 283 3 vital vital JJ cord-017142-vx3rgs4r 283 4 to to TO cord-017142-vx3rgs4r 283 5 recognize recognize VB cord-017142-vx3rgs4r 283 6 the the DT cord-017142-vx3rgs4r 283 7 symptoms symptom NNS cord-017142-vx3rgs4r 283 8 early early RB cord-017142-vx3rgs4r 283 9 , , , cord-017142-vx3rgs4r 283 10 with with IN cord-017142-vx3rgs4r 283 11 prompt prompt JJ cord-017142-vx3rgs4r 283 12 imaging imaging NN cord-017142-vx3rgs4r 283 13 since since IN cord-017142-vx3rgs4r 283 14 the the DT cord-017142-vx3rgs4r 283 15 strongest strong JJS cord-017142-vx3rgs4r 283 16 predictor predictor NN cord-017142-vx3rgs4r 283 17 of of IN cord-017142-vx3rgs4r 283 18 neurologic neurologic JJ cord-017142-vx3rgs4r 283 19 outcome outcome NN cord-017142-vx3rgs4r 283 20 with with IN cord-017142-vx3rgs4r 283 21 treatment treatment NN cord-017142-vx3rgs4r 283 22 is be VBZ cord-017142-vx3rgs4r 283 23 the the DT cord-017142-vx3rgs4r 283 24 neurologic neurologic JJ cord-017142-vx3rgs4r 283 25 status status NN cord-017142-vx3rgs4r 283 26 when when WRB cord-017142-vx3rgs4r 283 27 treatment treatment NN cord-017142-vx3rgs4r 283 28 is be VBZ cord-017142-vx3rgs4r 283 29 initiated initiate VBN cord-017142-vx3rgs4r 283 30 [ [ -LRB- cord-017142-vx3rgs4r 283 31 77 77 CD cord-017142-vx3rgs4r 283 32 ] ] -RRB- cord-017142-vx3rgs4r 283 33 . . . cord-017142-vx3rgs4r 284 1 Clinical clinical JJ cord-017142-vx3rgs4r 284 2 features feature NNS cord-017142-vx3rgs4r 284 3 depend depend VBP cord-017142-vx3rgs4r 284 4 on on IN cord-017142-vx3rgs4r 284 5 the the DT cord-017142-vx3rgs4r 284 6 site site NN cord-017142-vx3rgs4r 284 7 and and CC cord-017142-vx3rgs4r 284 8 degree degree NN cord-017142-vx3rgs4r 284 9 of of IN cord-017142-vx3rgs4r 284 10 involvement involvement NN cord-017142-vx3rgs4r 284 11 . . . cord-017142-vx3rgs4r 285 1 A a DT cord-017142-vx3rgs4r 285 2 new new JJ cord-017142-vx3rgs4r 285 3 - - HYPH cord-017142-vx3rgs4r 285 4 onset onset NN cord-017142-vx3rgs4r 285 5 back back JJ cord-017142-vx3rgs4r 285 6 pain pain NN cord-017142-vx3rgs4r 285 7 or or CC cord-017142-vx3rgs4r 285 8 a a DT cord-017142-vx3rgs4r 285 9 worsening worsening NN cord-017142-vx3rgs4r 285 10 of of IN cord-017142-vx3rgs4r 285 11 an an DT cord-017142-vx3rgs4r 285 12 existing exist VBG cord-017142-vx3rgs4r 285 13 pain pain NN cord-017142-vx3rgs4r 285 14 in in IN cord-017142-vx3rgs4r 285 15 a a DT cord-017142-vx3rgs4r 285 16 MM MM NNP cord-017142-vx3rgs4r 285 17 patient patient NN cord-017142-vx3rgs4r 285 18 should should MD cord-017142-vx3rgs4r 285 19 prompt prompt VB cord-017142-vx3rgs4r 285 20 a a DT cord-017142-vx3rgs4r 285 21 work work NN cord-017142-vx3rgs4r 285 22 - - HYPH cord-017142-vx3rgs4r 285 23 up up NN cord-017142-vx3rgs4r 285 24 to to TO cord-017142-vx3rgs4r 285 25 rule rule VB cord-017142-vx3rgs4r 285 26 this this DT cord-017142-vx3rgs4r 285 27 out out RP cord-017142-vx3rgs4r 285 28 . . . cord-017142-vx3rgs4r 286 1 Pain pain NN cord-017142-vx3rgs4r 286 2 can can MD cord-017142-vx3rgs4r 286 3 be be VB cord-017142-vx3rgs4r 286 4 localized localize VBN cord-017142-vx3rgs4r 286 5 or or CC cord-017142-vx3rgs4r 286 6 radiating radiate VBG cord-017142-vx3rgs4r 286 7 which which WDT cord-017142-vx3rgs4r 286 8 usually usually RB cord-017142-vx3rgs4r 286 9 worsens worsen VBZ cord-017142-vx3rgs4r 286 10 with with IN cord-017142-vx3rgs4r 286 11 lying lie VBG cord-017142-vx3rgs4r 286 12 down down RP cord-017142-vx3rgs4r 286 13 . . . cord-017142-vx3rgs4r 287 1 Associated associated JJ cord-017142-vx3rgs4r 287 2 bowel bowel NN cord-017142-vx3rgs4r 287 3 and and CC cord-017142-vx3rgs4r 287 4 bladder bladder NN cord-017142-vx3rgs4r 287 5 dysfunction dysfunction NN cord-017142-vx3rgs4r 287 6 is be VBZ cord-017142-vx3rgs4r 287 7 present present JJ cord-017142-vx3rgs4r 287 8 in in IN cord-017142-vx3rgs4r 287 9 about about IN cord-017142-vx3rgs4r 287 10 half half NN cord-017142-vx3rgs4r 287 11 of of IN cord-017142-vx3rgs4r 287 12 the the DT cord-017142-vx3rgs4r 287 13 cases case NNS cord-017142-vx3rgs4r 287 14 [ [ -LRB- cord-017142-vx3rgs4r 287 15 44 44 CD cord-017142-vx3rgs4r 287 16 ] ] -RRB- cord-017142-vx3rgs4r 287 17 . . . cord-017142-vx3rgs4r 288 1 If if IN cord-017142-vx3rgs4r 288 2 treatment treatment NN cord-017142-vx3rgs4r 288 3 is be VBZ cord-017142-vx3rgs4r 288 4 delayed delay VBN cord-017142-vx3rgs4r 288 5 , , , cord-017142-vx3rgs4r 288 6 myelopathy myelopathy NN cord-017142-vx3rgs4r 288 7 progresses progress VBZ cord-017142-vx3rgs4r 288 8 to to IN cord-017142-vx3rgs4r 288 9 loss loss NN cord-017142-vx3rgs4r 288 10 of of IN cord-017142-vx3rgs4r 288 11 sensory sensory NN cord-017142-vx3rgs4r 288 12 and and CC cord-017142-vx3rgs4r 288 13 motor motor NN cord-017142-vx3rgs4r 288 14 function function NN cord-017142-vx3rgs4r 288 15 leading lead VBG cord-017142-vx3rgs4r 288 16 to to IN cord-017142-vx3rgs4r 288 17 paraplegia paraplegia NN cord-017142-vx3rgs4r 288 18 . . . cord-017142-vx3rgs4r 289 1 Spinal spinal JJ cord-017142-vx3rgs4r 289 2 cord cord NN cord-017142-vx3rgs4r 289 3 injury injury NN cord-017142-vx3rgs4r 289 4 at at IN cord-017142-vx3rgs4r 289 5 the the DT cord-017142-vx3rgs4r 289 6 cervical cervical JJ cord-017142-vx3rgs4r 289 7 level level NN cord-017142-vx3rgs4r 289 8 is be VBZ cord-017142-vx3rgs4r 289 9 uncommon uncommon JJ cord-017142-vx3rgs4r 289 10 ; ; : cord-017142-vx3rgs4r 289 11 however however RB cord-017142-vx3rgs4r 289 12 , , , cord-017142-vx3rgs4r 289 13 if if IN cord-017142-vx3rgs4r 289 14 affected affect VBN cord-017142-vx3rgs4r 289 15 above above IN cord-017142-vx3rgs4r 289 16 C4-C5 C4-C5 NNP cord-017142-vx3rgs4r 289 17 , , , cord-017142-vx3rgs4r 289 18 it -PRON- PRP cord-017142-vx3rgs4r 289 19 results result VBZ cord-017142-vx3rgs4r 289 20 in in IN cord-017142-vx3rgs4r 289 21 respiratory respiratory JJ cord-017142-vx3rgs4r 289 22 , , , cord-017142-vx3rgs4r 289 23 cardiac cardiac JJ cord-017142-vx3rgs4r 289 24 , , , cord-017142-vx3rgs4r 289 25 and and CC cord-017142-vx3rgs4r 289 26 autonomic autonomic JJ cord-017142-vx3rgs4r 289 27 decompensation decompensation NN cord-017142-vx3rgs4r 289 28 [ [ -LRB- cord-017142-vx3rgs4r 289 29 86 86 CD cord-017142-vx3rgs4r 289 30 ] ] -RRB- cord-017142-vx3rgs4r 289 31 . . . cord-017142-vx3rgs4r 290 1 Gadolinium gadolinium NN cord-017142-vx3rgs4r 290 2 - - HYPH cord-017142-vx3rgs4r 290 3 enhanced enhance VBN cord-017142-vx3rgs4r 290 4 MRI MRI NNP cord-017142-vx3rgs4r 290 5 is be VBZ cord-017142-vx3rgs4r 290 6 the the DT cord-017142-vx3rgs4r 290 7 initial initial JJ cord-017142-vx3rgs4r 290 8 gold gold NN cord-017142-vx3rgs4r 290 9 standard standard JJ cord-017142-vx3rgs4r 290 10 imaging imaging NN cord-017142-vx3rgs4r 290 11 modality modality NN cord-017142-vx3rgs4r 290 12 as as IN cord-017142-vx3rgs4r 290 13 it -PRON- PRP cord-017142-vx3rgs4r 290 14 can can MD cord-017142-vx3rgs4r 290 15 aid aid VB cord-017142-vx3rgs4r 290 16 in in IN cord-017142-vx3rgs4r 290 17 the the DT cord-017142-vx3rgs4r 290 18 thorough thorough JJ cord-017142-vx3rgs4r 290 19 evaluation evaluation NN cord-017142-vx3rgs4r 290 20 of of IN cord-017142-vx3rgs4r 290 21 spine spine NN cord-017142-vx3rgs4r 290 22 , , , cord-017142-vx3rgs4r 290 23 degree degree NN cord-017142-vx3rgs4r 290 24 of of IN cord-017142-vx3rgs4r 290 25 tumor tumor NN cord-017142-vx3rgs4r 290 26 or or CC cord-017142-vx3rgs4r 290 27 fracture fracture NN cord-017142-vx3rgs4r 290 28 involvement involvement NN cord-017142-vx3rgs4r 290 29 , , , cord-017142-vx3rgs4r 290 30 and and CC cord-017142-vx3rgs4r 290 31 for for IN cord-017142-vx3rgs4r 290 32 radiation radiation NN cord-017142-vx3rgs4r 290 33 planning planning NN cord-017142-vx3rgs4r 290 34 [ [ -LRB- cord-017142-vx3rgs4r 290 35 59 59 CD cord-017142-vx3rgs4r 290 36 ] ] -RRB- cord-017142-vx3rgs4r 290 37 . . . cord-017142-vx3rgs4r 291 1 The the DT cord-017142-vx3rgs4r 291 2 safety safety NN cord-017142-vx3rgs4r 291 3 of of IN cord-017142-vx3rgs4r 291 4 MRI MRI NNP cord-017142-vx3rgs4r 291 5 should should MD cord-017142-vx3rgs4r 291 6 be be VB cord-017142-vx3rgs4r 291 7 discussed discuss VBN cord-017142-vx3rgs4r 291 8 in in IN cord-017142-vx3rgs4r 291 9 the the DT cord-017142-vx3rgs4r 291 10 presence presence NN cord-017142-vx3rgs4r 291 11 of of IN cord-017142-vx3rgs4r 291 12 pacemakers pacemaker NNS cord-017142-vx3rgs4r 291 13 and and CC cord-017142-vx3rgs4r 291 14 defibrillators defibrillator NNS cord-017142-vx3rgs4r 291 15 in in IN cord-017142-vx3rgs4r 291 16 a a DT cord-017142-vx3rgs4r 291 17 multidisciplinary multidisciplinary JJ cord-017142-vx3rgs4r 291 18 fashion fashion NN cord-017142-vx3rgs4r 291 19 , , , cord-017142-vx3rgs4r 291 20 and and CC cord-017142-vx3rgs4r 291 21 if if IN cord-017142-vx3rgs4r 291 22 contraindicated contraindicate VBN cord-017142-vx3rgs4r 291 23 , , , cord-017142-vx3rgs4r 291 24 CT CT NNP cord-017142-vx3rgs4r 291 25 myelography myelography NN cord-017142-vx3rgs4r 291 26 should should MD cord-017142-vx3rgs4r 291 27 be be VB cord-017142-vx3rgs4r 291 28 performed perform VBN cord-017142-vx3rgs4r 291 29 . . . cord-017142-vx3rgs4r 292 1 There there EX cord-017142-vx3rgs4r 292 2 is be VBZ cord-017142-vx3rgs4r 292 3 a a DT cord-017142-vx3rgs4r 292 4 lack lack NN cord-017142-vx3rgs4r 292 5 of of IN cord-017142-vx3rgs4r 292 6 consensus consensus NN cord-017142-vx3rgs4r 292 7 guidelines guideline NNS cord-017142-vx3rgs4r 292 8 for for IN cord-017142-vx3rgs4r 292 9 treatment treatment NN cord-017142-vx3rgs4r 292 10 and and CC cord-017142-vx3rgs4r 292 11 hence hence RB cord-017142-vx3rgs4r 292 12 warrants warrant VBZ cord-017142-vx3rgs4r 292 13 an an DT cord-017142-vx3rgs4r 292 14 emergent emergent JJ cord-017142-vx3rgs4r 292 15 multidisciplinary multidisciplinary JJ cord-017142-vx3rgs4r 292 16 team team NN cord-017142-vx3rgs4r 292 17 consult consult VBP cord-017142-vx3rgs4r 292 18 involving involve VBG cord-017142-vx3rgs4r 292 19 the the DT cord-017142-vx3rgs4r 292 20 oncologist oncologist NN cord-017142-vx3rgs4r 292 21 , , , cord-017142-vx3rgs4r 292 22 neurosurgeon neurosurgeon NN cord-017142-vx3rgs4r 292 23 , , , cord-017142-vx3rgs4r 292 24 and and CC cord-017142-vx3rgs4r 292 25 radiation radiation NN cord-017142-vx3rgs4r 292 26 oncologist oncologist NN cord-017142-vx3rgs4r 292 27 . . . cord-017142-vx3rgs4r 293 1 The the DT cord-017142-vx3rgs4r 293 2 optimal optimal JJ cord-017142-vx3rgs4r 293 3 management management NN cord-017142-vx3rgs4r 293 4 depends depend VBZ cord-017142-vx3rgs4r 293 5 on on IN cord-017142-vx3rgs4r 293 6 the the DT cord-017142-vx3rgs4r 293 7 extent extent NN cord-017142-vx3rgs4r 293 8 of of IN cord-017142-vx3rgs4r 293 9 disease disease NN cord-017142-vx3rgs4r 293 10 , , , cord-017142-vx3rgs4r 293 11 performance performance NN cord-017142-vx3rgs4r 293 12 status status NN cord-017142-vx3rgs4r 293 13 of of IN cord-017142-vx3rgs4r 293 14 the the DT cord-017142-vx3rgs4r 293 15 patient patient NN cord-017142-vx3rgs4r 293 16 , , , cord-017142-vx3rgs4r 293 17 and and CC cord-017142-vx3rgs4r 293 18 presence presence NN cord-017142-vx3rgs4r 293 19 of of IN cord-017142-vx3rgs4r 293 20 spine spine NN cord-017142-vx3rgs4r 293 21 instability instability NN cord-017142-vx3rgs4r 293 22 . . . cord-017142-vx3rgs4r 294 1 Immediate immediate JJ cord-017142-vx3rgs4r 294 2 therapeutic therapeutic JJ cord-017142-vx3rgs4r 294 3 strategies strategy NNS cord-017142-vx3rgs4r 294 4 involve involve VBP cord-017142-vx3rgs4r 294 5 achieving achieve VBG cord-017142-vx3rgs4r 294 6 minimal minimal JJ cord-017142-vx3rgs4r 294 7 mobility mobility NN cord-017142-vx3rgs4r 294 8 until until IN cord-017142-vx3rgs4r 294 9 stability stability NN cord-017142-vx3rgs4r 294 10 of of IN cord-017142-vx3rgs4r 294 11 the the DT cord-017142-vx3rgs4r 294 12 spine spine NN cord-017142-vx3rgs4r 294 13 is be VBZ cord-017142-vx3rgs4r 294 14 achieved achieve VBN cord-017142-vx3rgs4r 294 15 . . . cord-017142-vx3rgs4r 295 1 Steroids steroid NNS cord-017142-vx3rgs4r 295 2 should should MD cord-017142-vx3rgs4r 295 3 be be VB cord-017142-vx3rgs4r 295 4 initiated initiate VBN cord-017142-vx3rgs4r 295 5 even even RB cord-017142-vx3rgs4r 295 6 while while IN cord-017142-vx3rgs4r 295 7 awaiting await VBG cord-017142-vx3rgs4r 295 8 diagnostic diagnostic JJ cord-017142-vx3rgs4r 295 9 study study NN cord-017142-vx3rgs4r 295 10 results result NNS cord-017142-vx3rgs4r 295 11 ( ( -LRB- cord-017142-vx3rgs4r 295 12 dexamethasone dexamethasone NN cord-017142-vx3rgs4r 295 13 at at IN cord-017142-vx3rgs4r 295 14 doses dose NNS cord-017142-vx3rgs4r 296 1 10 10 CD cord-017142-vx3rgs4r 296 2 mg mg NNP cord-017142-vx3rgs4r 296 3 IV IV NNP cord-017142-vx3rgs4r 296 4 followed follow VBN cord-017142-vx3rgs4r 296 5 by by IN cord-017142-vx3rgs4r 296 6 16 16 CD cord-017142-vx3rgs4r 296 7 mg mg NNP cord-017142-vx3rgs4r 296 8 daily daily RB cord-017142-vx3rgs4r 296 9 in in IN cord-017142-vx3rgs4r 296 10 divided divide VBN cord-017142-vx3rgs4r 296 11 doses dose NNS cord-017142-vx3rgs4r 296 12 with with IN cord-017142-vx3rgs4r 296 13 a a DT cord-017142-vx3rgs4r 296 14 taper taper NN cord-017142-vx3rgs4r 296 15 over over IN cord-017142-vx3rgs4r 296 16 2 2 CD cord-017142-vx3rgs4r 296 17 weeks week NNS cord-017142-vx3rgs4r 296 18 ) ) -RRB- cord-017142-vx3rgs4r 297 1 [ [ -LRB- cord-017142-vx3rgs4r 297 2 137 137 CD cord-017142-vx3rgs4r 297 3 ] ] -RRB- cord-017142-vx3rgs4r 297 4 . . . cord-017142-vx3rgs4r 298 1 Doses dose NNS cord-017142-vx3rgs4r 298 2 as as RB cord-017142-vx3rgs4r 298 3 high high JJ cord-017142-vx3rgs4r 298 4 as as IN cord-017142-vx3rgs4r 298 5 100 100 CD cord-017142-vx3rgs4r 298 6 mg mg NNP cord-017142-vx3rgs4r 298 7 initial initial JJ cord-017142-vx3rgs4r 298 8 bolus bolus NN cord-017142-vx3rgs4r 298 9 were be VBD cord-017142-vx3rgs4r 298 10 used use VBN cord-017142-vx3rgs4r 298 11 in in IN cord-017142-vx3rgs4r 298 12 the the DT cord-017142-vx3rgs4r 298 13 past past NN cord-017142-vx3rgs4r 298 14 , , , cord-017142-vx3rgs4r 298 15 but but CC cord-017142-vx3rgs4r 298 16 are be VBP cord-017142-vx3rgs4r 298 17 not not RB cord-017142-vx3rgs4r 298 18 used use VBN cord-017142-vx3rgs4r 298 19 any any DT cord-017142-vx3rgs4r 298 20 more more RBR cord-017142-vx3rgs4r 298 21 due due JJ cord-017142-vx3rgs4r 298 22 to to IN cord-017142-vx3rgs4r 298 23 risk risk NN cord-017142-vx3rgs4r 298 24 of of IN cord-017142-vx3rgs4r 298 25 significant significant JJ cord-017142-vx3rgs4r 298 26 side side NN cord-017142-vx3rgs4r 298 27 effects effect NNS cord-017142-vx3rgs4r 298 28 and and CC cord-017142-vx3rgs4r 298 29 limited limited JJ cord-017142-vx3rgs4r 298 30 evidence evidence NN cord-017142-vx3rgs4r 298 31 to to TO cord-017142-vx3rgs4r 298 32 suggest suggest VB cord-017142-vx3rgs4r 298 33 benefit benefit VB cord-017142-vx3rgs4r 298 34 [ [ -LRB- cord-017142-vx3rgs4r 298 35 45 45 CD cord-017142-vx3rgs4r 298 36 ] ] -RRB- cord-017142-vx3rgs4r 298 37 . . . cord-017142-vx3rgs4r 299 1 Spine spine NN cord-017142-vx3rgs4r 299 2 stabilization stabilization NN cord-017142-vx3rgs4r 299 3 by by IN cord-017142-vx3rgs4r 299 4 reducing reduce VBG cord-017142-vx3rgs4r 299 5 the the DT cord-017142-vx3rgs4r 299 6 mechanical mechanical JJ cord-017142-vx3rgs4r 299 7 load load NN cord-017142-vx3rgs4r 299 8 can can MD cord-017142-vx3rgs4r 299 9 be be VB cord-017142-vx3rgs4r 299 10 achieved achieve VBN cord-017142-vx3rgs4r 299 11 with with IN cord-017142-vx3rgs4r 299 12 the the DT cord-017142-vx3rgs4r 299 13 use use NN cord-017142-vx3rgs4r 299 14 of of IN cord-017142-vx3rgs4r 299 15 a a DT cord-017142-vx3rgs4r 299 16 neck neck NN cord-017142-vx3rgs4r 299 17 collar collar NN cord-017142-vx3rgs4r 299 18 ( ( -LRB- cord-017142-vx3rgs4r 299 19 e.g. e.g. RB cord-017142-vx3rgs4r 299 20 , , , cord-017142-vx3rgs4r 299 21 Philadelphia Philadelphia NNP cord-017142-vx3rgs4r 299 22 collar collar NN cord-017142-vx3rgs4r 299 23 ) ) -RRB- cord-017142-vx3rgs4r 299 24 in in IN cord-017142-vx3rgs4r 299 25 case case NN cord-017142-vx3rgs4r 299 26 of of IN cord-017142-vx3rgs4r 299 27 cervical cervical JJ cord-017142-vx3rgs4r 299 28 spine spine NN cord-017142-vx3rgs4r 299 29 or or CC cord-017142-vx3rgs4r 299 30 braces brace NNS cord-017142-vx3rgs4r 299 31 at at IN cord-017142-vx3rgs4r 299 32 other other JJ cord-017142-vx3rgs4r 299 33 sites site NNS cord-017142-vx3rgs4r 299 34 and and CC cord-017142-vx3rgs4r 299 35 is be VBZ cord-017142-vx3rgs4r 299 36 not not RB cord-017142-vx3rgs4r 299 37 generally generally RB cord-017142-vx3rgs4r 299 38 recommended recommend VBN cord-017142-vx3rgs4r 299 39 for for IN cord-017142-vx3rgs4r 299 40 longer long JJR cord-017142-vx3rgs4r 299 41 than than IN cord-017142-vx3rgs4r 299 42 3 3 CD cord-017142-vx3rgs4r 299 43 months month NNS cord-017142-vx3rgs4r 299 44 [ [ -LRB- cord-017142-vx3rgs4r 299 45 87 87 CD cord-017142-vx3rgs4r 299 46 ] ] -RRB- cord-017142-vx3rgs4r 299 47 . . . cord-017142-vx3rgs4r 300 1 A a DT cord-017142-vx3rgs4r 300 2 thorough thorough JJ cord-017142-vx3rgs4r 300 3 baseline baseline JJ cord-017142-vx3rgs4r 300 4 neurological neurological JJ cord-017142-vx3rgs4r 300 5 exam exam NN cord-017142-vx3rgs4r 300 6 followed follow VBN cord-017142-vx3rgs4r 300 7 by by IN cord-017142-vx3rgs4r 300 8 serial serial JJ cord-017142-vx3rgs4r 300 9 neurological neurological JJ cord-017142-vx3rgs4r 300 10 exams exam NNS cord-017142-vx3rgs4r 300 11 should should MD cord-017142-vx3rgs4r 300 12 be be VB cord-017142-vx3rgs4r 300 13 done do VBN cord-017142-vx3rgs4r 300 14 to to TO cord-017142-vx3rgs4r 300 15 assess assess VB cord-017142-vx3rgs4r 300 16 clinical clinical JJ cord-017142-vx3rgs4r 300 17 status status NN cord-017142-vx3rgs4r 300 18 . . . cord-017142-vx3rgs4r 301 1 Radiotherapy radiotherapy NN cord-017142-vx3rgs4r 301 2 should should MD cord-017142-vx3rgs4r 301 3 be be VB cord-017142-vx3rgs4r 301 4 started start VBN cord-017142-vx3rgs4r 301 5 as as RB cord-017142-vx3rgs4r 301 6 soon soon RB cord-017142-vx3rgs4r 301 7 as as IN cord-017142-vx3rgs4r 301 8 possible possible JJ cord-017142-vx3rgs4r 301 9 as as IN cord-017142-vx3rgs4r 301 10 MM MM NNP cord-017142-vx3rgs4r 301 11 is be VBZ cord-017142-vx3rgs4r 301 12 extremely extremely RB cord-017142-vx3rgs4r 301 13 radiosensitive radiosensitive JJ cord-017142-vx3rgs4r 301 14 , , , cord-017142-vx3rgs4r 301 15 unless unless IN cord-017142-vx3rgs4r 301 16 in in IN cord-017142-vx3rgs4r 301 17 very very RB cord-017142-vx3rgs4r 301 18 late late RB cord-017142-vx3rgs4r 301 19 in in IN cord-017142-vx3rgs4r 301 20 the the DT cord-017142-vx3rgs4r 301 21 disease disease NN cord-017142-vx3rgs4r 301 22 . . . cord-017142-vx3rgs4r 302 1 In in IN cord-017142-vx3rgs4r 302 2 a a DT cord-017142-vx3rgs4r 302 3 retrospective retrospective JJ cord-017142-vx3rgs4r 302 4 study study NN cord-017142-vx3rgs4r 302 5 which which WDT cord-017142-vx3rgs4r 302 6 included include VBD cord-017142-vx3rgs4r 302 7 63 63 CD cord-017142-vx3rgs4r 302 8 patients patient NNS cord-017142-vx3rgs4r 302 9 with with IN cord-017142-vx3rgs4r 302 10 MM MM NNP cord-017142-vx3rgs4r 302 11 / / SYM cord-017142-vx3rgs4r 302 12 lymphoma lymphoma NN cord-017142-vx3rgs4r 302 13 treated treat VBN cord-017142-vx3rgs4r 302 14 with with IN cord-017142-vx3rgs4r 302 15 RT RT NNP cord-017142-vx3rgs4r 302 16 alone alone RB cord-017142-vx3rgs4r 302 17 , , , cord-017142-vx3rgs4r 302 18 76 76 CD cord-017142-vx3rgs4r 302 19 % % NN cord-017142-vx3rgs4r 302 20 of of IN cord-017142-vx3rgs4r 302 21 the the DT cord-017142-vx3rgs4r 302 22 patients patient NNS cord-017142-vx3rgs4r 302 23 experienced experience VBD cord-017142-vx3rgs4r 302 24 an an DT cord-017142-vx3rgs4r 302 25 improvement improvement NN cord-017142-vx3rgs4r 302 26 in in IN cord-017142-vx3rgs4r 302 27 motor motor NN cord-017142-vx3rgs4r 302 28 function function NN cord-017142-vx3rgs4r 302 29 , , , cord-017142-vx3rgs4r 302 30 22 22 CD cord-017142-vx3rgs4r 302 31 % % NN cord-017142-vx3rgs4r 302 32 had have VBD cord-017142-vx3rgs4r 302 33 no no DT cord-017142-vx3rgs4r 302 34 change change NN cord-017142-vx3rgs4r 302 35 , , , cord-017142-vx3rgs4r 302 36 while while IN cord-017142-vx3rgs4r 302 37 2 2 CD cord-017142-vx3rgs4r 302 38 % % NN cord-017142-vx3rgs4r 302 39 deteriorated deteriorate VBD cord-017142-vx3rgs4r 302 40 . . . cord-017142-vx3rgs4r 303 1 In in IN cord-017142-vx3rgs4r 303 2 this this DT cord-017142-vx3rgs4r 303 3 group group NN cord-017142-vx3rgs4r 303 4 , , , cord-017142-vx3rgs4r 303 5 patients patient NNS cord-017142-vx3rgs4r 303 6 who who WP cord-017142-vx3rgs4r 303 7 experienced experience VBD cord-017142-vx3rgs4r 303 8 slowly slowly RB cord-017142-vx3rgs4r 303 9 progressive progressive JJ cord-017142-vx3rgs4r 303 10 motor motor NN cord-017142-vx3rgs4r 303 11 deficit deficit NN cord-017142-vx3rgs4r 303 12 defined define VBN cord-017142-vx3rgs4r 303 13 as as IN cord-017142-vx3rgs4r 303 14 time time NN cord-017142-vx3rgs4r 303 15 of of IN cord-017142-vx3rgs4r 303 16 onset onset NN cord-017142-vx3rgs4r 303 17 > > XX cord-017142-vx3rgs4r 303 18 14 14 CD cord-017142-vx3rgs4r 303 19 days day NNS cord-017142-vx3rgs4r 303 20 had have VBD cord-017142-vx3rgs4r 303 21 better well JJR cord-017142-vx3rgs4r 303 22 response response NN cord-017142-vx3rgs4r 303 23 rates rate NNS cord-017142-vx3rgs4r 303 24 than than IN cord-017142-vx3rgs4r 303 25 patients patient NNS cord-017142-vx3rgs4r 303 26 who who WP cord-017142-vx3rgs4r 303 27 had have VBD cord-017142-vx3rgs4r 303 28 fast fast JJ cord-017142-vx3rgs4r 303 29 onset onset NN cord-017142-vx3rgs4r 303 30 deficit deficit NN cord-017142-vx3rgs4r 303 31 defined define VBN cord-017142-vx3rgs4r 303 32 as as IN cord-017142-vx3rgs4r 303 33 time time NN cord-017142-vx3rgs4r 303 34 of of IN cord-017142-vx3rgs4r 303 35 onset onset NN cord-017142-vx3rgs4r 303 36 < < XX cord-017142-vx3rgs4r 303 37 14 14 CD cord-017142-vx3rgs4r 303 38 days day NNS cord-017142-vx3rgs4r 303 39 . . . cord-017142-vx3rgs4r 304 1 The the DT cord-017142-vx3rgs4r 304 2 improvements improvement NNS cord-017142-vx3rgs4r 304 3 in in IN cord-017142-vx3rgs4r 304 4 motor motor NN cord-017142-vx3rgs4r 304 5 function function NN cord-017142-vx3rgs4r 304 6 in in IN cord-017142-vx3rgs4r 304 7 these these DT cord-017142-vx3rgs4r 304 8 groups group NNS cord-017142-vx3rgs4r 304 9 were be VBD cord-017142-vx3rgs4r 304 10 80 80 CD cord-017142-vx3rgs4r 304 11 % % NN cord-017142-vx3rgs4r 304 12 and and CC cord-017142-vx3rgs4r 304 13 70 70 CD cord-017142-vx3rgs4r 304 14 % % NN cord-017142-vx3rgs4r 304 15 , , , cord-017142-vx3rgs4r 304 16 respectively respectively RB cord-017142-vx3rgs4r 304 17 . . . cord-017142-vx3rgs4r 305 1 No no DT cord-017142-vx3rgs4r 305 2 patients patient NNS cord-017142-vx3rgs4r 305 3 who who WP cord-017142-vx3rgs4r 305 4 received receive VBD cord-017142-vx3rgs4r 305 5 radiotherapy radiotherapy NN cord-017142-vx3rgs4r 305 6 progressed progress VBD cord-017142-vx3rgs4r 305 7 in in IN cord-017142-vx3rgs4r 305 8 the the DT cord-017142-vx3rgs4r 305 9 slow slow JJ cord-017142-vx3rgs4r 305 10 onset onset NN cord-017142-vx3rgs4r 305 11 motor motor NN cord-017142-vx3rgs4r 305 12 weakness weakness NN cord-017142-vx3rgs4r 305 13 group group NN cord-017142-vx3rgs4r 305 14 [ [ -LRB- cord-017142-vx3rgs4r 305 15 103 103 CD cord-017142-vx3rgs4r 305 16 , , , cord-017142-vx3rgs4r 305 17 104 104 CD cord-017142-vx3rgs4r 305 18 ] ] -RRB- cord-017142-vx3rgs4r 305 19 . . . cord-017142-vx3rgs4r 306 1 Current current JJ cord-017142-vx3rgs4r 306 2 evidence evidence NN cord-017142-vx3rgs4r 306 3 does do VBZ cord-017142-vx3rgs4r 306 4 not not RB cord-017142-vx3rgs4r 306 5 support support VB cord-017142-vx3rgs4r 306 6 resorting resort VBG cord-017142-vx3rgs4r 306 7 to to IN cord-017142-vx3rgs4r 306 8 surgery surgery NN cord-017142-vx3rgs4r 306 9 in in IN cord-017142-vx3rgs4r 306 10 patients patient NNS cord-017142-vx3rgs4r 306 11 with with IN cord-017142-vx3rgs4r 306 12 ESCC ESCC NNP cord-017142-vx3rgs4r 306 13 , , , cord-017142-vx3rgs4r 306 14 as as IN cord-017142-vx3rgs4r 306 15 most most JJS cord-017142-vx3rgs4r 306 16 MM MM NNP cord-017142-vx3rgs4r 306 17 cases case NNS cord-017142-vx3rgs4r 306 18 respond respond VBP cord-017142-vx3rgs4r 306 19 to to IN cord-017142-vx3rgs4r 306 20 radiation radiation NN cord-017142-vx3rgs4r 306 21 . . . cord-017142-vx3rgs4r 307 1 The the DT cord-017142-vx3rgs4r 307 2 need need NN cord-017142-vx3rgs4r 307 3 for for IN cord-017142-vx3rgs4r 307 4 surgical surgical JJ cord-017142-vx3rgs4r 307 5 stabilization stabilization NN cord-017142-vx3rgs4r 307 6 with with IN cord-017142-vx3rgs4r 307 7 fixation fixation NN cord-017142-vx3rgs4r 307 8 or or CC cord-017142-vx3rgs4r 307 9 by by IN cord-017142-vx3rgs4r 307 10 percutaneous percutaneous JJ cord-017142-vx3rgs4r 307 11 repair repair NN cord-017142-vx3rgs4r 307 12 is be VBZ cord-017142-vx3rgs4r 307 13 in in IN cord-017142-vx3rgs4r 307 14 general general JJ cord-017142-vx3rgs4r 307 15 reserved reserve VBN cord-017142-vx3rgs4r 307 16 for for IN cord-017142-vx3rgs4r 307 17 cases case NNS cord-017142-vx3rgs4r 307 18 with with IN cord-017142-vx3rgs4r 307 19 spine spine NN cord-017142-vx3rgs4r 307 20 instability instability NN cord-017142-vx3rgs4r 307 21 or or CC cord-017142-vx3rgs4r 307 22 spine spine NN cord-017142-vx3rgs4r 307 23 compression compression NN cord-017142-vx3rgs4r 307 24 from from IN cord-017142-vx3rgs4r 307 25 a a DT cord-017142-vx3rgs4r 307 26 vertebral vertebral JJ cord-017142-vx3rgs4r 307 27 body body NN cord-017142-vx3rgs4r 307 28 . . . cord-017142-vx3rgs4r 308 1 Treatment treatment NN cord-017142-vx3rgs4r 308 2 of of IN cord-017142-vx3rgs4r 308 3 the the DT cord-017142-vx3rgs4r 308 4 underlying underlying JJ cord-017142-vx3rgs4r 308 5 malignancy malignancy NN cord-017142-vx3rgs4r 308 6 with with IN cord-017142-vx3rgs4r 308 7 systemic systemic JJ cord-017142-vx3rgs4r 308 8 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 308 9 or or CC cord-017142-vx3rgs4r 308 10 novel novel JJ cord-017142-vx3rgs4r 308 11 agents agent NNS cord-017142-vx3rgs4r 308 12 , , , cord-017142-vx3rgs4r 308 13 bone bone NN cord-017142-vx3rgs4r 308 14 - - HYPH cord-017142-vx3rgs4r 308 15 modifying modify VBG cord-017142-vx3rgs4r 308 16 agents agent NNS cord-017142-vx3rgs4r 308 17 , , , cord-017142-vx3rgs4r 308 18 and and CC cord-017142-vx3rgs4r 308 19 neurorehabilitation neurorehabilitation NNP cord-017142-vx3rgs4r 308 20 can can MD cord-017142-vx3rgs4r 308 21 help help VB cord-017142-vx3rgs4r 308 22 in in IN cord-017142-vx3rgs4r 308 23 recovery recovery NN cord-017142-vx3rgs4r 308 24 of of IN cord-017142-vx3rgs4r 308 25 the the DT cord-017142-vx3rgs4r 308 26 vertebral vertebral JJ cord-017142-vx3rgs4r 308 27 and and CC cord-017142-vx3rgs4r 308 28 spinal spinal JJ cord-017142-vx3rgs4r 308 29 damage damage NN cord-017142-vx3rgs4r 308 30 [ [ -LRB- cord-017142-vx3rgs4r 308 31 72 72 CD cord-017142-vx3rgs4r 308 32 , , , cord-017142-vx3rgs4r 308 33 101 101 CD cord-017142-vx3rgs4r 308 34 ] ] -RRB- cord-017142-vx3rgs4r 308 35 . . . cord-017142-vx3rgs4r 309 1 CNS CNS NNP cord-017142-vx3rgs4r 309 2 myelomatosis myelomatosis NNP cord-017142-vx3rgs4r 309 3 : : : cord-017142-vx3rgs4r 310 1 Neurological neurological JJ cord-017142-vx3rgs4r 310 2 symptoms symptom NNS cord-017142-vx3rgs4r 310 3 in in IN cord-017142-vx3rgs4r 310 4 MM MM NNP cord-017142-vx3rgs4r 310 5 are be VBP cord-017142-vx3rgs4r 310 6 most most RBS cord-017142-vx3rgs4r 310 7 commonly commonly RB cord-017142-vx3rgs4r 310 8 due due JJ cord-017142-vx3rgs4r 310 9 to to IN cord-017142-vx3rgs4r 310 10 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 310 11 , , , cord-017142-vx3rgs4r 310 12 cord cord NN cord-017142-vx3rgs4r 310 13 compression compression NN cord-017142-vx3rgs4r 310 14 , , , cord-017142-vx3rgs4r 310 15 anti anti JJ cord-017142-vx3rgs4r 310 16 - - JJ cord-017142-vx3rgs4r 310 17 MM mm JJ cord-017142-vx3rgs4r 310 18 drug drug NN cord-017142-vx3rgs4r 310 19 related relate VBN cord-017142-vx3rgs4r 310 20 , , , cord-017142-vx3rgs4r 310 21 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 310 22 , , , cord-017142-vx3rgs4r 310 23 or or CC cord-017142-vx3rgs4r 310 24 amyloid amyloid NN cord-017142-vx3rgs4r 310 25 - - HYPH cord-017142-vx3rgs4r 310 26 related relate VBN cord-017142-vx3rgs4r 310 27 neuropathy neuropathy NN cord-017142-vx3rgs4r 310 28 . . . cord-017142-vx3rgs4r 311 1 Direct direct JJ cord-017142-vx3rgs4r 311 2 involvement involvement NN cord-017142-vx3rgs4r 311 3 by by IN cord-017142-vx3rgs4r 311 4 malignant malignant JJ cord-017142-vx3rgs4r 311 5 cells cell NNS cord-017142-vx3rgs4r 311 6 of of IN cord-017142-vx3rgs4r 311 7 the the DT cord-017142-vx3rgs4r 311 8 central central JJ cord-017142-vx3rgs4r 311 9 nervous nervous JJ cord-017142-vx3rgs4r 311 10 system system NN cord-017142-vx3rgs4r 311 11 ( ( -LRB- cord-017142-vx3rgs4r 311 12 CNS CNS NNP cord-017142-vx3rgs4r 311 13 ) ) -RRB- cord-017142-vx3rgs4r 311 14 or or CC cord-017142-vx3rgs4r 311 15 peripheral peripheral JJ cord-017142-vx3rgs4r 311 16 nervous nervous JJ cord-017142-vx3rgs4r 311 17 system system NN cord-017142-vx3rgs4r 311 18 , , , cord-017142-vx3rgs4r 311 19 unlike unlike IN cord-017142-vx3rgs4r 311 20 lymphoma lymphoma NN cord-017142-vx3rgs4r 311 21 , , , cord-017142-vx3rgs4r 311 22 is be VBZ cord-017142-vx3rgs4r 311 23 uncommon uncommon JJ cord-017142-vx3rgs4r 311 24 in in IN cord-017142-vx3rgs4r 311 25 MM MM NNP cord-017142-vx3rgs4r 311 26 . . . cord-017142-vx3rgs4r 312 1 Direct direct JJ cord-017142-vx3rgs4r 312 2 CNS CNS NNP cord-017142-vx3rgs4r 312 3 involvement involvement NN cord-017142-vx3rgs4r 312 4 in in IN cord-017142-vx3rgs4r 312 5 MM MM NNP cord-017142-vx3rgs4r 312 6 often often RB cord-017142-vx3rgs4r 312 7 presents present VBZ cord-017142-vx3rgs4r 312 8 as as IN cord-017142-vx3rgs4r 312 9 leptomeningeal leptomeningeal NNP cord-017142-vx3rgs4r 312 10 myelomatosis myelomatosis NNP cord-017142-vx3rgs4r 312 11 ( ( -LRB- cord-017142-vx3rgs4r 312 12 LMM LMM NNP cord-017142-vx3rgs4r 312 13 ) ) -RRB- cord-017142-vx3rgs4r 312 14 , , , cord-017142-vx3rgs4r 312 15 intraparenchymal intraparenchymal JJ cord-017142-vx3rgs4r 312 16 metastasis metastasis NN cord-017142-vx3rgs4r 312 17 , , , cord-017142-vx3rgs4r 312 18 cranial cranial JJ cord-017142-vx3rgs4r 312 19 nerve nerve NN cord-017142-vx3rgs4r 312 20 involvement involvement NN cord-017142-vx3rgs4r 312 21 , , , cord-017142-vx3rgs4r 312 22 or or CC cord-017142-vx3rgs4r 312 23 radiculopathy radiculopathy NNP cord-017142-vx3rgs4r 312 24 [ [ -LRB- cord-017142-vx3rgs4r 312 25 54 54 CD cord-017142-vx3rgs4r 312 26 , , , cord-017142-vx3rgs4r 312 27 95 95 CD cord-017142-vx3rgs4r 312 28 , , , cord-017142-vx3rgs4r 312 29 117 117 CD cord-017142-vx3rgs4r 312 30 ] ] -RRB- cord-017142-vx3rgs4r 312 31 . . . cord-017142-vx3rgs4r 313 1 Though though IN cord-017142-vx3rgs4r 313 2 conventional conventional JJ cord-017142-vx3rgs4r 313 3 wisdom wisdom NN cord-017142-vx3rgs4r 313 4 would would MD cord-017142-vx3rgs4r 313 5 suggest suggest VB cord-017142-vx3rgs4r 313 6 CNS CNS NNP cord-017142-vx3rgs4r 313 7 involvement involvement NN cord-017142-vx3rgs4r 313 8 is be VBZ cord-017142-vx3rgs4r 313 9 seen see VBN cord-017142-vx3rgs4r 313 10 later later RB cord-017142-vx3rgs4r 313 11 during during IN cord-017142-vx3rgs4r 313 12 the the DT cord-017142-vx3rgs4r 313 13 disease disease NN cord-017142-vx3rgs4r 313 14 , , , cord-017142-vx3rgs4r 313 15 most most JJS cord-017142-vx3rgs4r 313 16 patients patient NNS cord-017142-vx3rgs4r 313 17 present present VBP cord-017142-vx3rgs4r 313 18 relatively relatively RB cord-017142-vx3rgs4r 313 19 early early RB cord-017142-vx3rgs4r 313 20 with with IN cord-017142-vx3rgs4r 313 21 median median JJ cord-017142-vx3rgs4r 313 22 time time NN cord-017142-vx3rgs4r 313 23 of of IN cord-017142-vx3rgs4r 313 24 diagnosis diagnosis NN cord-017142-vx3rgs4r 313 25 of of IN cord-017142-vx3rgs4r 313 26 LMD LMD NNP cord-017142-vx3rgs4r 313 27 around around IN cord-017142-vx3rgs4r 313 28 9 9 CD cord-017142-vx3rgs4r 313 29 months month NNS cord-017142-vx3rgs4r 313 30 from from IN cord-017142-vx3rgs4r 313 31 MM MM NNP cord-017142-vx3rgs4r 313 32 diagnosis diagnosis NN cord-017142-vx3rgs4r 313 33 . . . cord-017142-vx3rgs4r 314 1 Hence hence RB cord-017142-vx3rgs4r 314 2 the the DT cord-017142-vx3rgs4r 314 3 risk risk NN cord-017142-vx3rgs4r 314 4 is be VBZ cord-017142-vx3rgs4r 314 5 unlikely unlikely JJ cord-017142-vx3rgs4r 314 6 only only RB cord-017142-vx3rgs4r 314 7 related relate VBN cord-017142-vx3rgs4r 314 8 to to IN cord-017142-vx3rgs4r 314 9 improved improve VBN cord-017142-vx3rgs4r 314 10 survival survival NN cord-017142-vx3rgs4r 314 11 in in IN cord-017142-vx3rgs4r 314 12 MM MM NNP cord-017142-vx3rgs4r 314 13 patients patient NNS cord-017142-vx3rgs4r 314 14 but but CC cord-017142-vx3rgs4r 314 15 also also RB cord-017142-vx3rgs4r 314 16 due due IN cord-017142-vx3rgs4r 314 17 to to IN cord-017142-vx3rgs4r 314 18 an an DT cord-017142-vx3rgs4r 314 19 aggressive aggressive JJ cord-017142-vx3rgs4r 314 20 early early JJ cord-017142-vx3rgs4r 314 21 biology biology NN cord-017142-vx3rgs4r 314 22 . . . cord-017142-vx3rgs4r 315 1 Supporting support VBG cord-017142-vx3rgs4r 315 2 this this DT cord-017142-vx3rgs4r 315 3 contention contention NN cord-017142-vx3rgs4r 315 4 , , , cord-017142-vx3rgs4r 315 5 CNS CNS NNP cord-017142-vx3rgs4r 315 6 involvement involvement NN cord-017142-vx3rgs4r 315 7 is be VBZ cord-017142-vx3rgs4r 315 8 reported report VBN cord-017142-vx3rgs4r 315 9 mostly mostly RB cord-017142-vx3rgs4r 315 10 in in IN cord-017142-vx3rgs4r 315 11 patients patient NNS cord-017142-vx3rgs4r 315 12 with with IN cord-017142-vx3rgs4r 315 13 high high JJ cord-017142-vx3rgs4r 315 14 - - HYPH cord-017142-vx3rgs4r 315 15 risk risk NN cord-017142-vx3rgs4r 315 16 MM MM NNP cord-017142-vx3rgs4r 315 17 with with IN cord-017142-vx3rgs4r 315 18 heavy heavy JJ cord-017142-vx3rgs4r 315 19 tumor tumor NN cord-017142-vx3rgs4r 315 20 burden burden NN cord-017142-vx3rgs4r 315 21 , , , cord-017142-vx3rgs4r 315 22 plasmablastic plasmablastic JJ cord-017142-vx3rgs4r 315 23 morphology morphology NN cord-017142-vx3rgs4r 315 24 , , , cord-017142-vx3rgs4r 315 25 or or CC cord-017142-vx3rgs4r 315 26 plasma plasma NN cord-017142-vx3rgs4r 315 27 cell cell NN cord-017142-vx3rgs4r 315 28 leukemia leukemia NN cord-017142-vx3rgs4r 315 29 [ [ -LRB- cord-017142-vx3rgs4r 315 30 138 138 CD cord-017142-vx3rgs4r 315 31 ] ] -RRB- cord-017142-vx3rgs4r 315 32 . . . cord-017142-vx3rgs4r 316 1 Patients patient NNS cord-017142-vx3rgs4r 316 2 often often RB cord-017142-vx3rgs4r 316 3 present present JJ cord-017142-vx3rgs4r 316 4 with with IN cord-017142-vx3rgs4r 316 5 focal focal JJ cord-017142-vx3rgs4r 316 6 weakness weakness NN cord-017142-vx3rgs4r 316 7 , , , cord-017142-vx3rgs4r 316 8 cranial cranial JJ cord-017142-vx3rgs4r 316 9 nerve nerve NN cord-017142-vx3rgs4r 316 10 palsies palsy NNS cord-017142-vx3rgs4r 316 11 , , , cord-017142-vx3rgs4r 316 12 mental mental JJ cord-017142-vx3rgs4r 316 13 status status NN cord-017142-vx3rgs4r 316 14 changes change NNS cord-017142-vx3rgs4r 316 15 , , , cord-017142-vx3rgs4r 316 16 speech speech NN cord-017142-vx3rgs4r 316 17 and and CC cord-017142-vx3rgs4r 316 18 gait gait JJ cord-017142-vx3rgs4r 316 19 disturbances disturbance NNS cord-017142-vx3rgs4r 316 20 , , , cord-017142-vx3rgs4r 316 21 symptoms symptom NNS cord-017142-vx3rgs4r 316 22 of of IN cord-017142-vx3rgs4r 316 23 increased increase VBN cord-017142-vx3rgs4r 316 24 intracranial intracranial JJ cord-017142-vx3rgs4r 316 25 pressure pressure NN cord-017142-vx3rgs4r 316 26 , , , cord-017142-vx3rgs4r 316 27 and/or and/or CC cord-017142-vx3rgs4r 316 28 seizures seizure NNS cord-017142-vx3rgs4r 316 29 . . . cord-017142-vx3rgs4r 317 1 CSF CSF NNP cord-017142-vx3rgs4r 317 2 examination examination NN cord-017142-vx3rgs4r 317 3 reveals reveal VBZ cord-017142-vx3rgs4r 317 4 pleocytosis pleocytosis NNP cord-017142-vx3rgs4r 317 5 , , , cord-017142-vx3rgs4r 317 6 increased increase VBN cord-017142-vx3rgs4r 317 7 protein protein NN cord-017142-vx3rgs4r 317 8 levels level NNS cord-017142-vx3rgs4r 317 9 higher high JJR cord-017142-vx3rgs4r 317 10 than than IN cord-017142-vx3rgs4r 317 11 100 100 CD cord-017142-vx3rgs4r 317 12 g g NN cord-017142-vx3rgs4r 317 13 / / SYM cord-017142-vx3rgs4r 317 14 dL dl NN cord-017142-vx3rgs4r 317 15 , , , cord-017142-vx3rgs4r 317 16 presence presence NN cord-017142-vx3rgs4r 317 17 of of IN cord-017142-vx3rgs4r 317 18 monoclonal monoclonal JJ cord-017142-vx3rgs4r 317 19 plasma plasma NN cord-017142-vx3rgs4r 317 20 cells cell NNS cord-017142-vx3rgs4r 317 21 , , , cord-017142-vx3rgs4r 317 22 and and CC cord-017142-vx3rgs4r 317 23 in in IN cord-017142-vx3rgs4r 317 24 some some DT cord-017142-vx3rgs4r 317 25 cases case NNS cord-017142-vx3rgs4r 317 26 an an DT cord-017142-vx3rgs4r 317 27 increased increase VBN cord-017142-vx3rgs4r 317 28 opening opening NN cord-017142-vx3rgs4r 317 29 pressure pressure NN cord-017142-vx3rgs4r 317 30 . . . cord-017142-vx3rgs4r 318 1 The the DT cord-017142-vx3rgs4r 318 2 diagnosis diagnosis NN cord-017142-vx3rgs4r 318 3 is be VBZ cord-017142-vx3rgs4r 318 4 usually usually RB cord-017142-vx3rgs4r 318 5 reached reach VBN cord-017142-vx3rgs4r 318 6 with with IN cord-017142-vx3rgs4r 318 7 the the DT cord-017142-vx3rgs4r 318 8 first first JJ cord-017142-vx3rgs4r 318 9 analysis analysis NN cord-017142-vx3rgs4r 318 10 of of IN cord-017142-vx3rgs4r 318 11 CSF CSF NNP cord-017142-vx3rgs4r 318 12 [ [ -LRB- cord-017142-vx3rgs4r 318 13 78 78 CD cord-017142-vx3rgs4r 318 14 ] ] -RRB- cord-017142-vx3rgs4r 318 15 . . . cord-017142-vx3rgs4r 319 1 MRI MRI NNP cord-017142-vx3rgs4r 319 2 imaging image VBG cord-017142-vx3rgs4r 319 3 with with IN cord-017142-vx3rgs4r 319 4 and and CC cord-017142-vx3rgs4r 319 5 without without IN cord-017142-vx3rgs4r 319 6 contrast contrast NN cord-017142-vx3rgs4r 319 7 would would MD cord-017142-vx3rgs4r 319 8 aid aid VB cord-017142-vx3rgs4r 319 9 in in IN cord-017142-vx3rgs4r 319 10 identifying identify VBG cord-017142-vx3rgs4r 319 11 the the DT cord-017142-vx3rgs4r 319 12 presence presence NN cord-017142-vx3rgs4r 319 13 and and CC cord-017142-vx3rgs4r 319 14 extent extent NN cord-017142-vx3rgs4r 319 15 of of IN cord-017142-vx3rgs4r 319 16 the the DT cord-017142-vx3rgs4r 319 17 disease disease NN cord-017142-vx3rgs4r 319 18 . . . cord-017142-vx3rgs4r 320 1 In in IN cord-017142-vx3rgs4r 320 2 the the DT cord-017142-vx3rgs4r 320 3 presence presence NN cord-017142-vx3rgs4r 320 4 of of IN cord-017142-vx3rgs4r 320 5 symptoms symptom NNS cord-017142-vx3rgs4r 320 6 , , , cord-017142-vx3rgs4r 320 7 steroids steroid NNS cord-017142-vx3rgs4r 320 8 can can MD cord-017142-vx3rgs4r 320 9 help help VB cord-017142-vx3rgs4r 320 10 in in IN cord-017142-vx3rgs4r 320 11 alleviating alleviate VBG cord-017142-vx3rgs4r 320 12 the the DT cord-017142-vx3rgs4r 320 13 symptoms symptom NNS cord-017142-vx3rgs4r 320 14 and and CC cord-017142-vx3rgs4r 320 15 reducing reduce VBG cord-017142-vx3rgs4r 320 16 intracranial intracranial JJ cord-017142-vx3rgs4r 320 17 pressure pressure NN cord-017142-vx3rgs4r 320 18 . . . cord-017142-vx3rgs4r 321 1 Therapy therapy NN cord-017142-vx3rgs4r 321 2 involves involve VBZ cord-017142-vx3rgs4r 321 3 strategies strategy NNS cord-017142-vx3rgs4r 321 4 similar similar JJ cord-017142-vx3rgs4r 321 5 to to IN cord-017142-vx3rgs4r 321 6 that that DT cord-017142-vx3rgs4r 321 7 used use VBN cord-017142-vx3rgs4r 321 8 for for IN cord-017142-vx3rgs4r 321 9 other other JJ cord-017142-vx3rgs4r 321 10 hematological hematological JJ cord-017142-vx3rgs4r 321 11 malignancies malignancy NNS cord-017142-vx3rgs4r 321 12 with with IN cord-017142-vx3rgs4r 321 13 CNS CNS NNP cord-017142-vx3rgs4r 321 14 involvement involvement NN cord-017142-vx3rgs4r 321 15 , , , cord-017142-vx3rgs4r 321 16 including include VBG cord-017142-vx3rgs4r 321 17 intrathecal intrathecal JJ cord-017142-vx3rgs4r 321 18 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 321 19 and and CC cord-017142-vx3rgs4r 321 20 cranial cranial JJ cord-017142-vx3rgs4r 321 21 irradiation irradiation NN cord-017142-vx3rgs4r 321 22 with with IN cord-017142-vx3rgs4r 321 23 systemic systemic JJ cord-017142-vx3rgs4r 321 24 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 321 25 . . . cord-017142-vx3rgs4r 322 1 Despite despite IN cord-017142-vx3rgs4r 322 2 majority majority NN cord-017142-vx3rgs4r 322 3 of of IN cord-017142-vx3rgs4r 322 4 patients patient NNS cord-017142-vx3rgs4r 322 5 achieving achieve VBG cord-017142-vx3rgs4r 322 6 CSF CSF NNP cord-017142-vx3rgs4r 322 7 clearance clearance NN cord-017142-vx3rgs4r 322 8 with with IN cord-017142-vx3rgs4r 322 9 CNS CNS NNP cord-017142-vx3rgs4r 322 10 - - HYPH cord-017142-vx3rgs4r 322 11 directed direct VBN cord-017142-vx3rgs4r 322 12 therapy therapy NN cord-017142-vx3rgs4r 322 13 showing show VBG cord-017142-vx3rgs4r 322 14 significant significant JJ cord-017142-vx3rgs4r 322 15 potential potential NN cord-017142-vx3rgs4r 322 16 for for IN cord-017142-vx3rgs4r 322 17 symptom symptom NN cord-017142-vx3rgs4r 322 18 improvement improvement NN cord-017142-vx3rgs4r 322 19 , , , cord-017142-vx3rgs4r 322 20 the the DT cord-017142-vx3rgs4r 322 21 overall overall JJ cord-017142-vx3rgs4r 322 22 prognosis prognosis NN cord-017142-vx3rgs4r 322 23 is be VBZ cord-017142-vx3rgs4r 322 24 grim grim JJ cord-017142-vx3rgs4r 322 25 with with IN cord-017142-vx3rgs4r 322 26 the the DT cord-017142-vx3rgs4r 322 27 currently currently RB cord-017142-vx3rgs4r 322 28 approved approve VBN cord-017142-vx3rgs4r 322 29 therapies therapy NNS cord-017142-vx3rgs4r 322 30 in in IN cord-017142-vx3rgs4r 322 31 MM MM NNP cord-017142-vx3rgs4r 322 32 . . . cord-017142-vx3rgs4r 323 1 The the DT cord-017142-vx3rgs4r 323 2 median median JJ cord-017142-vx3rgs4r 323 3 survival survival NN cord-017142-vx3rgs4r 323 4 ranges range VBZ cord-017142-vx3rgs4r 323 5 from from IN cord-017142-vx3rgs4r 323 6 3 3 CD cord-017142-vx3rgs4r 323 7 to to TO cord-017142-vx3rgs4r 323 8 6 6 CD cord-017142-vx3rgs4r 323 9 months month NNS cord-017142-vx3rgs4r 323 10 , , , cord-017142-vx3rgs4r 323 11 with with IN cord-017142-vx3rgs4r 323 12 a a DT cord-017142-vx3rgs4r 323 13 small small JJ cord-017142-vx3rgs4r 323 14 fraction fraction NN cord-017142-vx3rgs4r 323 15 surviving survive VBG cord-017142-vx3rgs4r 323 16 past past JJ cord-017142-vx3rgs4r 323 17 2 2 CD cord-017142-vx3rgs4r 323 18 years year NNS cord-017142-vx3rgs4r 323 19 [ [ -LRB- cord-017142-vx3rgs4r 323 20 75 75 CD cord-017142-vx3rgs4r 323 21 ] ] -RRB- cord-017142-vx3rgs4r 323 22 . . . cord-017142-vx3rgs4r 324 1 Hence hence RB cord-017142-vx3rgs4r 324 2 it -PRON- PRP cord-017142-vx3rgs4r 324 3 is be VBZ cord-017142-vx3rgs4r 324 4 paramount paramount NN cord-017142-vx3rgs4r 324 5 to to TO cord-017142-vx3rgs4r 324 6 have have VB cord-017142-vx3rgs4r 324 7 a a DT cord-017142-vx3rgs4r 324 8 thorough thorough JJ cord-017142-vx3rgs4r 324 9 discussion discussion NN cord-017142-vx3rgs4r 324 10 on on IN cord-017142-vx3rgs4r 324 11 the the DT cord-017142-vx3rgs4r 324 12 goals goal NNS cord-017142-vx3rgs4r 324 13 of of IN cord-017142-vx3rgs4r 324 14 therapy therapy NN cord-017142-vx3rgs4r 324 15 once once IN cord-017142-vx3rgs4r 324 16 CNS CNS NNP cord-017142-vx3rgs4r 324 17 involvement involvement NN cord-017142-vx3rgs4r 324 18 is be VBZ cord-017142-vx3rgs4r 324 19 diagnosed diagnose VBN cord-017142-vx3rgs4r 324 20 [ [ -LRB- cord-017142-vx3rgs4r 324 21 17 17 CD cord-017142-vx3rgs4r 324 22 , , , cord-017142-vx3rgs4r 324 23 34 34 CD cord-017142-vx3rgs4r 324 24 ] ] -RRB- cord-017142-vx3rgs4r 324 25 . . . cord-017142-vx3rgs4r 325 1 Anemia anemia NN cord-017142-vx3rgs4r 325 2 : : : cord-017142-vx3rgs4r 326 1 Hematological Hematological NNP cord-017142-vx3rgs4r 326 2 emergencies emergency NNS cord-017142-vx3rgs4r 326 3 in in IN cord-017142-vx3rgs4r 326 4 MM MM NNP cord-017142-vx3rgs4r 326 5 most most RBS cord-017142-vx3rgs4r 326 6 commonly commonly RB cord-017142-vx3rgs4r 326 7 arise arise VBP cord-017142-vx3rgs4r 326 8 due due IN cord-017142-vx3rgs4r 326 9 to to IN cord-017142-vx3rgs4r 326 10 disease disease NN cord-017142-vx3rgs4r 326 11 - - HYPH cord-017142-vx3rgs4r 326 12 or or CC cord-017142-vx3rgs4r 326 13 treatment treatment NN cord-017142-vx3rgs4r 326 14 - - HYPH cord-017142-vx3rgs4r 326 15 related relate VBN cord-017142-vx3rgs4r 326 16 myelosuppression myelosuppression NN cord-017142-vx3rgs4r 326 17 . . . cord-017142-vx3rgs4r 327 1 Anemia anemia NN cord-017142-vx3rgs4r 327 2 ( ( -LRB- cord-017142-vx3rgs4r 327 3 Hb Hb NNP cord-017142-vx3rgs4r 327 4 > > XX cord-017142-vx3rgs4r 328 1 2 2 LS cord-017142-vx3rgs4r 328 2 g g NN cord-017142-vx3rgs4r 328 3 / / SYM cord-017142-vx3rgs4r 328 4 dL dl NN cord-017142-vx3rgs4r 328 5 below below IN cord-017142-vx3rgs4r 328 6 the the DT cord-017142-vx3rgs4r 328 7 lower low JJR cord-017142-vx3rgs4r 328 8 limit limit NN cord-017142-vx3rgs4r 328 9 of of IN cord-017142-vx3rgs4r 328 10 normal normal JJ cord-017142-vx3rgs4r 328 11 or or CC cord-017142-vx3rgs4r 328 12 a a DT cord-017142-vx3rgs4r 328 13 hemoglobin hemoglobin NN cord-017142-vx3rgs4r 328 14 value value NN cord-017142-vx3rgs4r 328 15 < < XX cord-017142-vx3rgs4r 328 16 10 10 CD cord-017142-vx3rgs4r 328 17 g/ g/ JJ cord-017142-vx3rgs4r 328 18 dL dl NN cord-017142-vx3rgs4r 328 19 ) ) -RRB- cord-017142-vx3rgs4r 329 1 is be VBZ cord-017142-vx3rgs4r 329 2 a a DT cord-017142-vx3rgs4r 329 3 common common JJ cord-017142-vx3rgs4r 329 4 complication complication NN cord-017142-vx3rgs4r 329 5 seen see VBN cord-017142-vx3rgs4r 329 6 in in IN cord-017142-vx3rgs4r 329 7 70 70 CD cord-017142-vx3rgs4r 329 8 - - SYM cord-017142-vx3rgs4r 329 9 80 80 CD cord-017142-vx3rgs4r 329 10 % % NN cord-017142-vx3rgs4r 329 11 MM MM NNP cord-017142-vx3rgs4r 329 12 patients patient NNS cord-017142-vx3rgs4r 329 13 at at IN cord-017142-vx3rgs4r 329 14 presentation presentation NN cord-017142-vx3rgs4r 329 15 and and CC cord-017142-vx3rgs4r 329 16 in in IN cord-017142-vx3rgs4r 329 17 nearly nearly RB cord-017142-vx3rgs4r 329 18 all all DT cord-017142-vx3rgs4r 329 19 patients patient NNS cord-017142-vx3rgs4r 329 20 at at IN cord-017142-vx3rgs4r 329 21 some some DT cord-017142-vx3rgs4r 329 22 point point NN cord-017142-vx3rgs4r 329 23 in in IN cord-017142-vx3rgs4r 329 24 the the DT cord-017142-vx3rgs4r 329 25 disease disease NN cord-017142-vx3rgs4r 329 26 course course NN cord-017142-vx3rgs4r 329 27 [ [ -LRB- cord-017142-vx3rgs4r 329 28 64 64 CD cord-017142-vx3rgs4r 329 29 ] ] -RRB- cord-017142-vx3rgs4r 329 30 . . . cord-017142-vx3rgs4r 330 1 Several several JJ cord-017142-vx3rgs4r 330 2 factors factor NNS cord-017142-vx3rgs4r 330 3 drive drive VBP cord-017142-vx3rgs4r 330 4 anemia anemia NN cord-017142-vx3rgs4r 330 5 in in IN cord-017142-vx3rgs4r 330 6 MM MM NNP cord-017142-vx3rgs4r 330 7 patients patient NNS cord-017142-vx3rgs4r 330 8 which which WDT cord-017142-vx3rgs4r 330 9 include include VBP cord-017142-vx3rgs4r 330 10 bone bone NN cord-017142-vx3rgs4r 330 11 marrow marrow NN cord-017142-vx3rgs4r 330 12 involvement involvement NN cord-017142-vx3rgs4r 330 13 , , , cord-017142-vx3rgs4r 330 14 low low JJ cord-017142-vx3rgs4r 330 15 serum serum NN cord-017142-vx3rgs4r 330 16 erythropoietin erythropoietin NN cord-017142-vx3rgs4r 330 17 level level NN cord-017142-vx3rgs4r 330 18 due due IN cord-017142-vx3rgs4r 330 19 to to IN cord-017142-vx3rgs4r 330 20 kidney kidney NN cord-017142-vx3rgs4r 330 21 dysfunction dysfunction NN cord-017142-vx3rgs4r 330 22 , , , cord-017142-vx3rgs4r 330 23 hemolysis hemolysis NN cord-017142-vx3rgs4r 330 24 , , , cord-017142-vx3rgs4r 330 25 impaired impaired JJ cord-017142-vx3rgs4r 330 26 availability availability NN cord-017142-vx3rgs4r 330 27 of of IN cord-017142-vx3rgs4r 330 28 storage storage NN cord-017142-vx3rgs4r 330 29 iron iron NN cord-017142-vx3rgs4r 330 30 , , , cord-017142-vx3rgs4r 330 31 and and CC cord-017142-vx3rgs4r 330 32 anti anti JJ cord-017142-vx3rgs4r 330 33 - - JJ cord-017142-vx3rgs4r 330 34 MM mm JJ cord-017142-vx3rgs4r 330 35 treatment treatment NN cord-017142-vx3rgs4r 330 36 - - HYPH cord-017142-vx3rgs4r 330 37 related relate VBN cord-017142-vx3rgs4r 330 38 bone bone NN cord-017142-vx3rgs4r 330 39 marrow marrow NN cord-017142-vx3rgs4r 330 40 suppression suppression NN cord-017142-vx3rgs4r 330 41 . . . cord-017142-vx3rgs4r 331 1 An an DT cord-017142-vx3rgs4r 331 2 aggressive aggressive JJ cord-017142-vx3rgs4r 331 3 anti anti JJ cord-017142-vx3rgs4r 331 4 - - JJ cord-017142-vx3rgs4r 331 5 MM mm JJ cord-017142-vx3rgs4r 331 6 treatment treatment NN cord-017142-vx3rgs4r 331 7 approach approach NN cord-017142-vx3rgs4r 331 8 despite despite IN cord-017142-vx3rgs4r 331 9 the the DT cord-017142-vx3rgs4r 331 10 severity severity NN cord-017142-vx3rgs4r 331 11 of of IN cord-017142-vx3rgs4r 331 12 anemia anemia NN cord-017142-vx3rgs4r 331 13 is be VBZ cord-017142-vx3rgs4r 331 14 warranted warrant VBN cord-017142-vx3rgs4r 331 15 in in IN cord-017142-vx3rgs4r 331 16 patients patient NNS cord-017142-vx3rgs4r 331 17 with with IN cord-017142-vx3rgs4r 331 18 anemia anemia NN cord-017142-vx3rgs4r 331 19 suspected suspect VBN cord-017142-vx3rgs4r 331 20 to to TO cord-017142-vx3rgs4r 331 21 be be VB cord-017142-vx3rgs4r 331 22 from from IN cord-017142-vx3rgs4r 331 23 MM MM NNP cord-017142-vx3rgs4r 331 24 . . . cord-017142-vx3rgs4r 332 1 This this DT cord-017142-vx3rgs4r 332 2 is be VBZ cord-017142-vx3rgs4r 332 3 likely likely RB cord-017142-vx3rgs4r 332 4 encountered encounter VBN cord-017142-vx3rgs4r 332 5 in in IN cord-017142-vx3rgs4r 332 6 most most JJS cord-017142-vx3rgs4r 332 7 cases case NNS cord-017142-vx3rgs4r 332 8 of of IN cord-017142-vx3rgs4r 332 9 newly newly RB cord-017142-vx3rgs4r 332 10 diagnosed diagnose VBN cord-017142-vx3rgs4r 332 11 MM MM NNP cord-017142-vx3rgs4r 332 12 . . . cord-017142-vx3rgs4r 333 1 Myeloma myeloma NN cord-017142-vx3rgs4r 333 2 therapy therapy NN cord-017142-vx3rgs4r 333 3 often often RB cord-017142-vx3rgs4r 333 4 worsens worsen VBZ cord-017142-vx3rgs4r 333 5 the the DT cord-017142-vx3rgs4r 333 6 anemia anemia NN cord-017142-vx3rgs4r 333 7 , , , cord-017142-vx3rgs4r 333 8 before before IN cord-017142-vx3rgs4r 333 9 it -PRON- PRP cord-017142-vx3rgs4r 333 10 improves improve VBZ cord-017142-vx3rgs4r 333 11 once once IN cord-017142-vx3rgs4r 333 12 myeloma myeloma NN cord-017142-vx3rgs4r 333 13 responds respond VBZ cord-017142-vx3rgs4r 333 14 . . . cord-017142-vx3rgs4r 334 1 These these DT cord-017142-vx3rgs4r 334 2 patients patient NNS cord-017142-vx3rgs4r 334 3 should should MD cord-017142-vx3rgs4r 334 4 be be VB cord-017142-vx3rgs4r 334 5 closely closely RB cord-017142-vx3rgs4r 334 6 monitored monitor VBN cord-017142-vx3rgs4r 334 7 for for IN cord-017142-vx3rgs4r 334 8 transfusion transfusion NN cord-017142-vx3rgs4r 334 9 requirement requirement NN cord-017142-vx3rgs4r 334 10 . . . cord-017142-vx3rgs4r 335 1 No no DT cord-017142-vx3rgs4r 335 2 universal universal JJ cord-017142-vx3rgs4r 335 3 guidelines guideline NNS cord-017142-vx3rgs4r 335 4 exist exist VBP cord-017142-vx3rgs4r 335 5 for for IN cord-017142-vx3rgs4r 335 6 transfusion transfusion NN cord-017142-vx3rgs4r 335 7 goals goal NNS cord-017142-vx3rgs4r 335 8 . . . cord-017142-vx3rgs4r 336 1 In in IN cord-017142-vx3rgs4r 336 2 general general JJ cord-017142-vx3rgs4r 336 3 , , , cord-017142-vx3rgs4r 336 4 leukoreduced leukoreduced JJ cord-017142-vx3rgs4r 336 5 and and CC cord-017142-vx3rgs4r 336 6 irradiated irradiate VBN cord-017142-vx3rgs4r 336 7 blood blood NN cord-017142-vx3rgs4r 336 8 is be VBZ cord-017142-vx3rgs4r 336 9 used use VBN cord-017142-vx3rgs4r 336 10 for for IN cord-017142-vx3rgs4r 336 11 transfusion transfusion NN cord-017142-vx3rgs4r 336 12 for for IN cord-017142-vx3rgs4r 336 13 hemoglobin hemoglobin NN cord-017142-vx3rgs4r 336 14 level level NN cord-017142-vx3rgs4r 336 15 < < XX cord-017142-vx3rgs4r 336 16 7 7 CD cord-017142-vx3rgs4r 336 17 - - SYM cord-017142-vx3rgs4r 336 18 8 8 CD cord-017142-vx3rgs4r 336 19 g g NN cord-017142-vx3rgs4r 336 20 / / SYM cord-017142-vx3rgs4r 336 21 dL dl NN cord-017142-vx3rgs4r 336 22 or or CC cord-017142-vx3rgs4r 336 23 symptomatic symptomatic JJ cord-017142-vx3rgs4r 336 24 anemia anemia NN cord-017142-vx3rgs4r 336 25 . . . cord-017142-vx3rgs4r 337 1 The the DT cord-017142-vx3rgs4r 337 2 transfusion transfusion NN cord-017142-vx3rgs4r 337 3 goal goal NN cord-017142-vx3rgs4r 337 4 can can MD cord-017142-vx3rgs4r 337 5 vary vary VB cord-017142-vx3rgs4r 337 6 in in IN cord-017142-vx3rgs4r 337 7 the the DT cord-017142-vx3rgs4r 337 8 presence presence NN cord-017142-vx3rgs4r 337 9 of of IN cord-017142-vx3rgs4r 337 10 other other JJ cord-017142-vx3rgs4r 337 11 comorbidities comorbiditie NNS cord-017142-vx3rgs4r 337 12 such such JJ cord-017142-vx3rgs4r 337 13 as as IN cord-017142-vx3rgs4r 337 14 cardiac cardiac JJ cord-017142-vx3rgs4r 337 15 ischemia ischemia NN cord-017142-vx3rgs4r 337 16 , , , cord-017142-vx3rgs4r 337 17 active active JJ cord-017142-vx3rgs4r 337 18 bleeding bleeding NN cord-017142-vx3rgs4r 337 19 , , , cord-017142-vx3rgs4r 337 20 or or CC cord-017142-vx3rgs4r 337 21 if if IN cord-017142-vx3rgs4r 337 22 symptoms symptom NNS cord-017142-vx3rgs4r 337 23 due due JJ cord-017142-vx3rgs4r 337 24 to to IN cord-017142-vx3rgs4r 337 25 hypoperfusion hypoperfusion NN cord-017142-vx3rgs4r 337 26 are be VBP cord-017142-vx3rgs4r 337 27 present present JJ cord-017142-vx3rgs4r 337 28 . . . cord-017142-vx3rgs4r 338 1 A a DT cord-017142-vx3rgs4r 338 2 major major JJ cord-017142-vx3rgs4r 338 3 proportion proportion NN cord-017142-vx3rgs4r 338 4 of of IN cord-017142-vx3rgs4r 338 5 patients patient NNS cord-017142-vx3rgs4r 338 6 with with IN cord-017142-vx3rgs4r 338 7 MM MM NNP cord-017142-vx3rgs4r 338 8 who who WP cord-017142-vx3rgs4r 338 9 have have VBP cord-017142-vx3rgs4r 338 10 chronic chronic JJ cord-017142-vx3rgs4r 338 11 anemia anemia NN cord-017142-vx3rgs4r 338 12 are be VBP cord-017142-vx3rgs4r 338 13 those those DT cord-017142-vx3rgs4r 338 14 with with IN cord-017142-vx3rgs4r 338 15 long long RB cord-017142-vx3rgs4r 338 16 - - HYPH cord-017142-vx3rgs4r 338 17 standing stand VBG cord-017142-vx3rgs4r 338 18 disease disease NN cord-017142-vx3rgs4r 338 19 in in IN cord-017142-vx3rgs4r 338 20 partial partial JJ cord-017142-vx3rgs4r 338 21 remission remission NN cord-017142-vx3rgs4r 338 22 or or CC cord-017142-vx3rgs4r 338 23 stable stable JJ cord-017142-vx3rgs4r 338 24 response response NN cord-017142-vx3rgs4r 338 25 . . . cord-017142-vx3rgs4r 339 1 Erythropoiesis erythropoiesis NN cord-017142-vx3rgs4r 339 2 - - HYPH cord-017142-vx3rgs4r 339 3 stimulating stimulate VBG cord-017142-vx3rgs4r 339 4 agents agent NNS cord-017142-vx3rgs4r 339 5 are be VBP cord-017142-vx3rgs4r 339 6 not not RB cord-017142-vx3rgs4r 339 7 routinely routinely RB cord-017142-vx3rgs4r 339 8 used use VBN cord-017142-vx3rgs4r 339 9 , , , cord-017142-vx3rgs4r 339 10 except except IN cord-017142-vx3rgs4r 339 11 in in IN cord-017142-vx3rgs4r 339 12 this this DT cord-017142-vx3rgs4r 339 13 population population NN cord-017142-vx3rgs4r 339 14 after after IN cord-017142-vx3rgs4r 339 15 careful careful JJ cord-017142-vx3rgs4r 339 16 selection selection NN cord-017142-vx3rgs4r 339 17 , , , cord-017142-vx3rgs4r 339 18 to to TO cord-017142-vx3rgs4r 339 19 improve improve VB cord-017142-vx3rgs4r 339 20 the the DT cord-017142-vx3rgs4r 339 21 ongoing ongoing JJ cord-017142-vx3rgs4r 339 22 anemia anemia NN cord-017142-vx3rgs4r 339 23 despite despite IN cord-017142-vx3rgs4r 339 24 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 339 25 . . . cord-017142-vx3rgs4r 340 1 Anti anti JJ cord-017142-vx3rgs4r 340 2 - - JJ cord-017142-vx3rgs4r 340 3 MM mm JJ cord-017142-vx3rgs4r 340 4 drug drug NN cord-017142-vx3rgs4r 340 5 - - HYPH cord-017142-vx3rgs4r 340 6 induced induce VBN cord-017142-vx3rgs4r 340 7 TMA TMA NNP cord-017142-vx3rgs4r 340 8 : : : cord-017142-vx3rgs4r 341 1 In in IN cord-017142-vx3rgs4r 341 2 patients patient NNS cord-017142-vx3rgs4r 341 3 who who WP cord-017142-vx3rgs4r 341 4 present present VBP cord-017142-vx3rgs4r 341 5 with with IN cord-017142-vx3rgs4r 341 6 new new JJ cord-017142-vx3rgs4r 341 7 - - HYPH cord-017142-vx3rgs4r 341 8 onset onset NN cord-017142-vx3rgs4r 341 9 anemia anemia NN cord-017142-vx3rgs4r 341 10 and and CC cord-017142-vx3rgs4r 341 11 thrombocytopenia thrombocytopenia NN cord-017142-vx3rgs4r 341 12 , , , cord-017142-vx3rgs4r 341 13 more more RBR cord-017142-vx3rgs4r 341 14 than than IN cord-017142-vx3rgs4r 341 15 often often RB cord-017142-vx3rgs4r 341 16 , , , cord-017142-vx3rgs4r 341 17 it -PRON- PRP cord-017142-vx3rgs4r 341 18 is be VBZ cord-017142-vx3rgs4r 341 19 ascribed ascribe VBN cord-017142-vx3rgs4r 341 20 to to IN cord-017142-vx3rgs4r 341 21 myelosuppressive myelosuppressive NNP cord-017142-vx3rgs4r 341 22 treatment treatment NN cord-017142-vx3rgs4r 341 23 or or CC cord-017142-vx3rgs4r 341 24 for for IN cord-017142-vx3rgs4r 341 25 MM MM NNP cord-017142-vx3rgs4r 341 26 progression progression NN cord-017142-vx3rgs4r 341 27 . . . cord-017142-vx3rgs4r 342 1 In in IN cord-017142-vx3rgs4r 342 2 the the DT cord-017142-vx3rgs4r 342 3 setting setting NN cord-017142-vx3rgs4r 342 4 of of IN cord-017142-vx3rgs4r 342 5 worsening worsen VBG cord-017142-vx3rgs4r 342 6 AKI AKI NNP cord-017142-vx3rgs4r 342 7 , , , cord-017142-vx3rgs4r 342 8 it -PRON- PRP cord-017142-vx3rgs4r 342 9 is be VBZ cord-017142-vx3rgs4r 342 10 imperative imperative JJ cord-017142-vx3rgs4r 342 11 to to TO cord-017142-vx3rgs4r 342 12 check check VB cord-017142-vx3rgs4r 342 13 for for IN cord-017142-vx3rgs4r 342 14 evidence evidence NN cord-017142-vx3rgs4r 342 15 of of IN cord-017142-vx3rgs4r 342 16 hemolysis hemolysis NN cord-017142-vx3rgs4r 342 17 with with IN cord-017142-vx3rgs4r 342 18 a a DT cord-017142-vx3rgs4r 342 19 haptoglobin haptoglobin NN cord-017142-vx3rgs4r 342 20 level level NN cord-017142-vx3rgs4r 342 21 , , , cord-017142-vx3rgs4r 342 22 LDH LDH NNP cord-017142-vx3rgs4r 342 23 level level NN cord-017142-vx3rgs4r 342 24 , , , cord-017142-vx3rgs4r 342 25 and and CC cord-017142-vx3rgs4r 342 26 peripheral peripheral JJ cord-017142-vx3rgs4r 342 27 blood blood NN cord-017142-vx3rgs4r 342 28 smear smear NN cord-017142-vx3rgs4r 342 29 looking look VBG cord-017142-vx3rgs4r 342 30 for for IN cord-017142-vx3rgs4r 342 31 schistocytes schistocyte NNS cord-017142-vx3rgs4r 342 32 . . . cord-017142-vx3rgs4r 343 1 One one PRP cord-017142-vx3rgs4r 343 2 should should MD cord-017142-vx3rgs4r 343 3 strongly strongly RB cord-017142-vx3rgs4r 343 4 consider consider VB cord-017142-vx3rgs4r 343 5 ruling rule VBG cord-017142-vx3rgs4r 343 6 out out RP cord-017142-vx3rgs4r 343 7 TMA TMA NNP cord-017142-vx3rgs4r 343 8 as as IN cord-017142-vx3rgs4r 343 9 it -PRON- PRP cord-017142-vx3rgs4r 343 10 has have VBZ cord-017142-vx3rgs4r 343 11 been be VBN cord-017142-vx3rgs4r 343 12 reported report VBN cord-017142-vx3rgs4r 343 13 with with IN cord-017142-vx3rgs4r 343 14 novel novel JJ cord-017142-vx3rgs4r 343 15 drugs drug NNS cord-017142-vx3rgs4r 343 16 and and CC cord-017142-vx3rgs4r 343 17 with with IN cord-017142-vx3rgs4r 343 18 older old JJR cord-017142-vx3rgs4r 343 19 chemotherapeutic chemotherapeutic JJ cord-017142-vx3rgs4r 343 20 agents agent NNS cord-017142-vx3rgs4r 343 21 ; ; : cord-017142-vx3rgs4r 343 22 two two CD cord-017142-vx3rgs4r 343 23 notable notable JJ cord-017142-vx3rgs4r 343 24 novel novel JJ cord-017142-vx3rgs4r 343 25 drugs drug NNS cord-017142-vx3rgs4r 343 26 are be VBP cord-017142-vx3rgs4r 343 27 bortezomib bortezomib NNP cord-017142-vx3rgs4r 343 28 and and CC cord-017142-vx3rgs4r 343 29 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 343 30 , , , cord-017142-vx3rgs4r 343 31 and and CC cord-017142-vx3rgs4r 343 32 a a DT cord-017142-vx3rgs4r 343 33 chemotherapeutic chemotherapeutic JJ cord-017142-vx3rgs4r 343 34 agent agent NN cord-017142-vx3rgs4r 343 35 is be VBZ cord-017142-vx3rgs4r 343 36 cisplatin cisplatin JJ cord-017142-vx3rgs4r 343 37 . . . cord-017142-vx3rgs4r 344 1 Prompt prompt JJ cord-017142-vx3rgs4r 344 2 discontinuation discontinuation NN cord-017142-vx3rgs4r 344 3 of of IN cord-017142-vx3rgs4r 344 4 these these DT cord-017142-vx3rgs4r 344 5 medications medication NNS cord-017142-vx3rgs4r 344 6 is be VBZ cord-017142-vx3rgs4r 344 7 warranted warrant VBN cord-017142-vx3rgs4r 344 8 if if IN cord-017142-vx3rgs4r 344 9 the the DT cord-017142-vx3rgs4r 344 10 medication medication NN cord-017142-vx3rgs4r 344 11 is be VBZ cord-017142-vx3rgs4r 344 12 suspected suspect VBN cord-017142-vx3rgs4r 344 13 to to TO cord-017142-vx3rgs4r 344 14 be be VB cord-017142-vx3rgs4r 344 15 the the DT cord-017142-vx3rgs4r 344 16 likely likely JJ cord-017142-vx3rgs4r 344 17 culprit culprit NN cord-017142-vx3rgs4r 344 18 . . . cord-017142-vx3rgs4r 345 1 Plasmapheresis Plasmapheresis NNP cord-017142-vx3rgs4r 345 2 is be VBZ cord-017142-vx3rgs4r 345 3 initiated initiate VBN cord-017142-vx3rgs4r 345 4 in in IN cord-017142-vx3rgs4r 345 5 most most JJS cord-017142-vx3rgs4r 345 6 of of IN cord-017142-vx3rgs4r 345 7 patients patient NNS cord-017142-vx3rgs4r 345 8 , , , cord-017142-vx3rgs4r 345 9 and and CC cord-017142-vx3rgs4r 345 10 eculizumab eculizumab NNP cord-017142-vx3rgs4r 345 11 has have VBZ cord-017142-vx3rgs4r 345 12 been be VBN cord-017142-vx3rgs4r 345 13 tried try VBN cord-017142-vx3rgs4r 345 14 in in IN cord-017142-vx3rgs4r 345 15 a a DT cord-017142-vx3rgs4r 345 16 small small JJ cord-017142-vx3rgs4r 345 17 number number NN cord-017142-vx3rgs4r 345 18 of of IN cord-017142-vx3rgs4r 345 19 patients patient NNS cord-017142-vx3rgs4r 345 20 . . . cord-017142-vx3rgs4r 346 1 The the DT cord-017142-vx3rgs4r 346 2 role role NN cord-017142-vx3rgs4r 346 3 of of IN cord-017142-vx3rgs4r 346 4 these these DT cord-017142-vx3rgs4r 346 5 two two CD cord-017142-vx3rgs4r 346 6 therapies therapy NNS cord-017142-vx3rgs4r 346 7 in in IN cord-017142-vx3rgs4r 346 8 malignancy malignancy NN cord-017142-vx3rgs4r 346 9 - - HYPH cord-017142-vx3rgs4r 346 10 associated associate VBN cord-017142-vx3rgs4r 346 11 TMA TMA NNP cord-017142-vx3rgs4r 346 12 is be VBZ cord-017142-vx3rgs4r 346 13 controversial controversial JJ cord-017142-vx3rgs4r 346 14 and and CC cord-017142-vx3rgs4r 346 15 should should MD cord-017142-vx3rgs4r 346 16 be be VB cord-017142-vx3rgs4r 346 17 discussed discuss VBN cord-017142-vx3rgs4r 346 18 on on IN cord-017142-vx3rgs4r 346 19 a a DT cord-017142-vx3rgs4r 346 20 case case NN cord-017142-vx3rgs4r 346 21 - - HYPH cord-017142-vx3rgs4r 346 22 by by IN cord-017142-vx3rgs4r 346 23 - - HYPH cord-017142-vx3rgs4r 346 24 case case NN cord-017142-vx3rgs4r 346 25 basis basis NN cord-017142-vx3rgs4r 346 26 [ [ -LRB- cord-017142-vx3rgs4r 346 27 51 51 CD cord-017142-vx3rgs4r 346 28 , , , cord-017142-vx3rgs4r 346 29 102 102 CD cord-017142-vx3rgs4r 346 30 , , , cord-017142-vx3rgs4r 346 31 121 121 CD cord-017142-vx3rgs4r 346 32 , , , cord-017142-vx3rgs4r 346 33 140 140 CD cord-017142-vx3rgs4r 346 34 ] ] -RRB- cord-017142-vx3rgs4r 346 35 . . . cord-017142-vx3rgs4r 347 1 The the DT cord-017142-vx3rgs4r 347 2 novel novel JJ cord-017142-vx3rgs4r 347 3 drug drug NN cord-017142-vx3rgs4r 347 4 combinations combination NNS cord-017142-vx3rgs4r 347 5 with with IN cord-017142-vx3rgs4r 347 6 manageable manageable JJ cord-017142-vx3rgs4r 347 7 adverse adverse JJ cord-017142-vx3rgs4r 347 8 profile profile NN cord-017142-vx3rgs4r 347 9 hold hold VBP cord-017142-vx3rgs4r 347 10 great great JJ cord-017142-vx3rgs4r 347 11 promise promise NN cord-017142-vx3rgs4r 347 12 in in IN cord-017142-vx3rgs4r 347 13 MM MM NNP cord-017142-vx3rgs4r 347 14 , , , cord-017142-vx3rgs4r 347 15 which which WDT cord-017142-vx3rgs4r 347 16 has have VBZ cord-017142-vx3rgs4r 347 17 turned turn VBN cord-017142-vx3rgs4r 347 18 MM MM NNP cord-017142-vx3rgs4r 347 19 into into IN cord-017142-vx3rgs4r 347 20 a a DT cord-017142-vx3rgs4r 347 21 chronic chronic JJ cord-017142-vx3rgs4r 347 22 disease disease NN cord-017142-vx3rgs4r 347 23 with with IN cord-017142-vx3rgs4r 347 24 an an DT cord-017142-vx3rgs4r 347 25 acceptable acceptable JJ cord-017142-vx3rgs4r 347 26 quality quality NN cord-017142-vx3rgs4r 347 27 of of IN cord-017142-vx3rgs4r 347 28 life life NN cord-017142-vx3rgs4r 347 29 for for IN cord-017142-vx3rgs4r 347 30 patients patient NNS cord-017142-vx3rgs4r 347 31 . . . cord-017142-vx3rgs4r 348 1 It -PRON- PRP cord-017142-vx3rgs4r 348 2 is be VBZ cord-017142-vx3rgs4r 348 3 also also RB cord-017142-vx3rgs4r 348 4 crucial crucial JJ cord-017142-vx3rgs4r 348 5 to to TO cord-017142-vx3rgs4r 348 6 recognize recognize VB cord-017142-vx3rgs4r 348 7 the the DT cord-017142-vx3rgs4r 348 8 complications complication NNS cord-017142-vx3rgs4r 348 9 of of IN cord-017142-vx3rgs4r 348 10 MM MM NNP cord-017142-vx3rgs4r 348 11 or or CC cord-017142-vx3rgs4r 348 12 its -PRON- PRP$ cord-017142-vx3rgs4r 348 13 treatment treatment NN cord-017142-vx3rgs4r 348 14 and and CC cord-017142-vx3rgs4r 348 15 understand understand VB cord-017142-vx3rgs4r 348 16 the the DT cord-017142-vx3rgs4r 348 17 management management NN cord-017142-vx3rgs4r 348 18 strategies strategy NNS cord-017142-vx3rgs4r 348 19 , , , cord-017142-vx3rgs4r 348 20 which which WDT cord-017142-vx3rgs4r 348 21 could could MD cord-017142-vx3rgs4r 348 22 help help VB cord-017142-vx3rgs4r 348 23 prevent prevent VB cord-017142-vx3rgs4r 348 24 excess excess JJ cord-017142-vx3rgs4r 348 25 morbidity morbidity NN cord-017142-vx3rgs4r 348 26 or or CC cord-017142-vx3rgs4r 348 27 mortality mortality NN cord-017142-vx3rgs4r 348 28 associated associate VBN cord-017142-vx3rgs4r 348 29 with with IN cord-017142-vx3rgs4r 348 30 this this DT cord-017142-vx3rgs4r 348 31 incurable incurable JJ cord-017142-vx3rgs4r 348 32 disease disease NN cord-017142-vx3rgs4r 348 33 . . . cord-017142-vx3rgs4r 349 1 Multiple multiple JJ cord-017142-vx3rgs4r 349 2 myeloma myeloma NN cord-017142-vx3rgs4r 349 3 and and CC cord-017142-vx3rgs4r 349 4 light light JJ cord-017142-vx3rgs4r 349 5 chain chain NN cord-017142-vx3rgs4r 349 6 - - HYPH cord-017142-vx3rgs4r 349 7 associated associate VBN cord-017142-vx3rgs4r 349 8 nephropathy nephropathy NN cord-017142-vx3rgs4r 349 9 at at IN cord-017142-vx3rgs4r 349 10 end end NN cord-017142-vx3rgs4r 349 11 - - HYPH cord-017142-vx3rgs4r 349 12 stage stage NN cord-017142-vx3rgs4r 349 13 renal renal JJ cord-017142-vx3rgs4r 349 14 disease disease NN cord-017142-vx3rgs4r 349 15 in in IN cord-017142-vx3rgs4r 349 16 the the DT cord-017142-vx3rgs4r 349 17 United United NNP cord-017142-vx3rgs4r 349 18 States States NNP cord-017142-vx3rgs4r 349 19 : : : cord-017142-vx3rgs4r 349 20 patient patient JJ cord-017142-vx3rgs4r 349 21 characteristics characteristic NNS cord-017142-vx3rgs4r 349 22 and and CC cord-017142-vx3rgs4r 350 1 survival survival NN cord-017142-vx3rgs4r 350 2 Diffuse diffuse VBP cord-017142-vx3rgs4r 350 3 alveolar alveolar NN cord-017142-vx3rgs4r 350 4 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 350 5 in in IN cord-017142-vx3rgs4r 351 1 hematopoietic hematopoietic JJ cord-017142-vx3rgs4r 351 2 stem stem NN cord-017142-vx3rgs4r 351 3 cell cell NN cord-017142-vx3rgs4r 351 4 transplant transplant NN cord-017142-vx3rgs4r 351 5 recipients recipient NNS cord-017142-vx3rgs4r 351 6 Fine fine JJ cord-017142-vx3rgs4r 351 7 - - HYPH cord-017142-vx3rgs4r 351 8 needle needle NN cord-017142-vx3rgs4r 351 9 aspiration aspiration NN cord-017142-vx3rgs4r 351 10 of of IN cord-017142-vx3rgs4r 351 11 abdominal abdominal JJ cord-017142-vx3rgs4r 351 12 fat fat JJ cord-017142-vx3rgs4r 351 13 pad pad NN cord-017142-vx3rgs4r 351 14 for for IN cord-017142-vx3rgs4r 351 15 amyloid amyloid NN cord-017142-vx3rgs4r 351 16 detection detection NN cord-017142-vx3rgs4r 351 17 : : : cord-017142-vx3rgs4r 351 18 a a DT cord-017142-vx3rgs4r 351 19 clinically clinically RB cord-017142-vx3rgs4r 351 20 useful useful JJ cord-017142-vx3rgs4r 351 21 test test NN cord-017142-vx3rgs4r 351 22 ? ? . cord-017142-vx3rgs4r 352 1 Early early JJ cord-017142-vx3rgs4r 352 2 detection detection NN cord-017142-vx3rgs4r 352 3 and and CC cord-017142-vx3rgs4r 352 4 successful successful JJ cord-017142-vx3rgs4r 352 5 treatment treatment NN cord-017142-vx3rgs4r 352 6 of of IN cord-017142-vx3rgs4r 352 7 drug drug NN cord-017142-vx3rgs4r 352 8 - - HYPH cord-017142-vx3rgs4r 352 9 induced induce VBN cord-017142-vx3rgs4r 352 10 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 352 11 with with IN cord-017142-vx3rgs4r 352 12 corticosteroids corticosteroid NNS cord-017142-vx3rgs4r 352 13 Cardiac Cardiac NNP cord-017142-vx3rgs4r 352 14 complications complication NNS cord-017142-vx3rgs4r 352 15 in in IN cord-017142-vx3rgs4r 352 16 relapsed relapsed JJ cord-017142-vx3rgs4r 352 17 and and CC cord-017142-vx3rgs4r 352 18 refractory refractory JJ cord-017142-vx3rgs4r 352 19 multiple multiple JJ cord-017142-vx3rgs4r 352 20 myeloma myeloma NN cord-017142-vx3rgs4r 352 21 patients patient NNS cord-017142-vx3rgs4r 352 22 treated treat VBN cord-017142-vx3rgs4r 352 23 with with IN cord-017142-vx3rgs4r 352 24 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 352 25 Early early JJ cord-017142-vx3rgs4r 352 26 mortality mortality NN cord-017142-vx3rgs4r 352 27 after after IN cord-017142-vx3rgs4r 352 28 diagnosis diagnosis NN cord-017142-vx3rgs4r 352 29 of of IN cord-017142-vx3rgs4r 352 30 multiple multiple JJ cord-017142-vx3rgs4r 352 31 myeloma myeloma NN cord-017142-vx3rgs4r 352 32 : : : cord-017142-vx3rgs4r 352 33 analysis analysis NN cord-017142-vx3rgs4r 352 34 of of IN cord-017142-vx3rgs4r 352 35 patients patient NNS cord-017142-vx3rgs4r 352 36 entered enter VBN cord-017142-vx3rgs4r 352 37 onto onto IN cord-017142-vx3rgs4r 352 38 the the DT cord-017142-vx3rgs4r 352 39 United United NNP cord-017142-vx3rgs4r 352 40 Kingdom Kingdom NNP cord-017142-vx3rgs4r 352 41 Medical Medical NNP cord-017142-vx3rgs4r 352 42 Research Research NNP cord-017142-vx3rgs4r 352 43 Council Council NNP cord-017142-vx3rgs4r 352 44 trials trial NNS cord-017142-vx3rgs4r 352 45 between between IN cord-017142-vx3rgs4r 352 46 1980 1980 CD cord-017142-vx3rgs4r 352 47 and and CC cord-017142-vx3rgs4r 352 48 2002 2002 CD cord-017142-vx3rgs4r 353 1 -Medical -medical DT cord-017142-vx3rgs4r 354 1 Research Research NNP cord-017142-vx3rgs4r 354 2 Council Council NNP cord-017142-vx3rgs4r 355 1 Adult Adult NNP cord-017142-vx3rgs4r 355 2 Leukaemia Leukaemia NNP cord-017142-vx3rgs4r 355 3 Working Working NNP cord-017142-vx3rgs4r 355 4 Party Party NNP cord-017142-vx3rgs4r 355 5 Severe Severe NNP cord-017142-vx3rgs4r 355 6 diffuse diffuse JJ cord-017142-vx3rgs4r 355 7 alveolar alveolar NN cord-017142-vx3rgs4r 355 8 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 355 9 associated associate VBN cord-017142-vx3rgs4r 355 10 with with IN cord-017142-vx3rgs4r 355 11 bortezomib bortezomib NNP cord-017142-vx3rgs4r 355 12 administration administration NN cord-017142-vx3rgs4r 355 13 in in IN cord-017142-vx3rgs4r 355 14 patients patient NNS cord-017142-vx3rgs4r 355 15 with with IN cord-017142-vx3rgs4r 355 16 multiple multiple JJ cord-017142-vx3rgs4r 355 17 myeloma myeloma NN cord-017142-vx3rgs4r 355 18 Bortezomib Bortezomib NNP cord-017142-vx3rgs4r 355 19 - - HYPH cord-017142-vx3rgs4r 355 20 related relate VBN cord-017142-vx3rgs4r 355 21 diffuse diffuse NN cord-017142-vx3rgs4r 356 1 alveolar alveolar JJ cord-017142-vx3rgs4r 356 2 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 356 3 Acute acute JJ cord-017142-vx3rgs4r 356 4 renal renal JJ cord-017142-vx3rgs4r 356 5 failure failure NN cord-017142-vx3rgs4r 356 6 - - HYPH cord-017142-vx3rgs4r 356 7 definition definition NN cord-017142-vx3rgs4r 356 8 , , , cord-017142-vx3rgs4r 356 9 outcome outcome NN cord-017142-vx3rgs4r 356 10 measures measure NNS cord-017142-vx3rgs4r 356 11 , , , cord-017142-vx3rgs4r 356 12 animal animal NN cord-017142-vx3rgs4r 356 13 models model NNS cord-017142-vx3rgs4r 356 14 , , , cord-017142-vx3rgs4r 356 15 fluid fluid JJ cord-017142-vx3rgs4r 356 16 therapy therapy NN cord-017142-vx3rgs4r 356 17 and and CC cord-017142-vx3rgs4r 356 18 information information NN cord-017142-vx3rgs4r 356 19 technology technology NN cord-017142-vx3rgs4r 356 20 needs need VBZ cord-017142-vx3rgs4r 356 21 Cardiac Cardiac NNP cord-017142-vx3rgs4r 356 22 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 356 23 : : : cord-017142-vx3rgs4r 357 1 an an DT cord-017142-vx3rgs4r 357 2 updated update VBN cord-017142-vx3rgs4r 357 3 review review NN cord-017142-vx3rgs4r 357 4 with with IN cord-017142-vx3rgs4r 357 5 emphasis emphasis NN cord-017142-vx3rgs4r 357 6 on on IN cord-017142-vx3rgs4r 357 7 diagnosis diagnosis NN cord-017142-vx3rgs4r 357 8 and and CC cord-017142-vx3rgs4r 357 9 future future JJ cord-017142-vx3rgs4r 357 10 directions direction NNS cord-017142-vx3rgs4r 358 1 Renal renal JJ cord-017142-vx3rgs4r 358 2 failure failure NN cord-017142-vx3rgs4r 358 3 in in IN cord-017142-vx3rgs4r 358 4 multiple multiple JJ cord-017142-vx3rgs4r 358 5 myeloma myeloma NN cord-017142-vx3rgs4r 358 6 : : : cord-017142-vx3rgs4r 358 7 presenting present VBG cord-017142-vx3rgs4r 358 8 features feature NNS cord-017142-vx3rgs4r 358 9 and and CC cord-017142-vx3rgs4r 358 10 predictors predictor NNS cord-017142-vx3rgs4r 358 11 of of IN cord-017142-vx3rgs4r 358 12 outcome outcome NN cord-017142-vx3rgs4r 358 13 in in IN cord-017142-vx3rgs4r 358 14 94 94 CD cord-017142-vx3rgs4r 358 15 patients patient NNS cord-017142-vx3rgs4r 358 16 from from IN cord-017142-vx3rgs4r 358 17 a a DT cord-017142-vx3rgs4r 358 18 single single JJ cord-017142-vx3rgs4r 358 19 institution institution NN cord-017142-vx3rgs4r 358 20 hematologic hematologic JJ cord-017142-vx3rgs4r 358 21 and and CC cord-017142-vx3rgs4r 358 22 infectious infectious JJ cord-017142-vx3rgs4r 358 23 complications complication NNS cord-017142-vx3rgs4r 358 24 in in IN cord-017142-vx3rgs4r 358 25 multiple multiple JJ cord-017142-vx3rgs4r 358 26 myeloma myeloma NN cord-017142-vx3rgs4r 358 27 Malignancies malignancy NNS cord-017142-vx3rgs4r 358 28 , , , cord-017142-vx3rgs4r 358 29 prothrombotic prothrombotic JJ cord-017142-vx3rgs4r 358 30 mutations mutation NNS cord-017142-vx3rgs4r 358 31 , , , cord-017142-vx3rgs4r 358 32 and and CC cord-017142-vx3rgs4r 358 33 the the DT cord-017142-vx3rgs4r 358 34 risk risk NN cord-017142-vx3rgs4r 358 35 of of IN cord-017142-vx3rgs4r 358 36 venous venous JJ cord-017142-vx3rgs4r 358 37 thrombosis thrombosis NN cord-017142-vx3rgs4r 358 38 Treatment treatment NN cord-017142-vx3rgs4r 358 39 of of IN cord-017142-vx3rgs4r 358 40 myeloma myeloma NN cord-017142-vx3rgs4r 358 41 cast cast VBN cord-017142-vx3rgs4r 358 42 nephropathy nephropathy NN cord-017142-vx3rgs4r 358 43 ( ( -LRB- cord-017142-vx3rgs4r 358 44 MCN MCN NNP cord-017142-vx3rgs4r 358 45 ) ) -RRB- cord-017142-vx3rgs4r 358 46 : : : cord-017142-vx3rgs4r 359 1 a a DT cord-017142-vx3rgs4r 359 2 randomized randomized JJ cord-017142-vx3rgs4r 359 3 trial trial NN cord-017142-vx3rgs4r 359 4 comparing compare VBG cord-017142-vx3rgs4r 359 5 intensive intensive JJ cord-017142-vx3rgs4r 359 6 haemodialysis haemodialysis NNP cord-017142-vx3rgs4r 359 7 ( ( -LRB- cord-017142-vx3rgs4r 359 8 HD HD NNP cord-017142-vx3rgs4r 359 9 ) ) -RRB- cord-017142-vx3rgs4r 359 10 with with IN cord-017142-vx3rgs4r 359 11 high high JJ cord-017142-vx3rgs4r 359 12 cut cut VBN cord-017142-vx3rgs4r 359 13 - - HYPH cord-017142-vx3rgs4r 359 14 off off NN cord-017142-vx3rgs4r 359 15 ( ( -LRB- cord-017142-vx3rgs4r 359 16 HCO HCO NNP cord-017142-vx3rgs4r 359 17 ) ) -RRB- cord-017142-vx3rgs4r 359 18 or or CC cord-017142-vx3rgs4r 359 19 standard standard JJ cord-017142-vx3rgs4r 359 20 high high JJ cord-017142-vx3rgs4r 359 21 - - HYPH cord-017142-vx3rgs4r 359 22 flux flux NN cord-017142-vx3rgs4r 359 23 dialyzer dialyzer NN cord-017142-vx3rgs4r 359 24 in in IN cord-017142-vx3rgs4r 359 25 patients patient NNS cord-017142-vx3rgs4r 359 26 receiving receive VBG cord-017142-vx3rgs4r 359 27 a a DT cord-017142-vx3rgs4r 359 28 bortezomib bortezomib NN cord-017142-vx3rgs4r 359 29 - - HYPH cord-017142-vx3rgs4r 359 30 based base VBN cord-017142-vx3rgs4r 359 31 regimen regimen NN cord-017142-vx3rgs4r 359 32 ( ( -LRB- cord-017142-vx3rgs4r 359 33 the the DT cord-017142-vx3rgs4r 359 34 MYRE MYRE NNP cord-017142-vx3rgs4r 359 35 Study Study NNP cord-017142-vx3rgs4r 359 36 , , , cord-017142-vx3rgs4r 359 37 by by IN cord-017142-vx3rgs4r 359 38 the the DT cord-017142-vx3rgs4r 359 39 Intergroupe Intergroupe NNP cord-017142-vx3rgs4r 359 40 Francophone Francophone NNP cord-017142-vx3rgs4r 359 41 du du NNP cord-017142-vx3rgs4r 359 42 Myélome Myélome NNP cord-017142-vx3rgs4r 359 43 ( ( -LRB- cord-017142-vx3rgs4r 359 44 IFM IFM NNP cord-017142-vx3rgs4r 359 45 ) ) -RRB- cord-017142-vx3rgs4r 359 46 and and CC cord-017142-vx3rgs4r 359 47 the the DT cord-017142-vx3rgs4r 359 48 French French NNP cord-017142-vx3rgs4r 359 49 Society Society NNP cord-017142-vx3rgs4r 359 50 of of IN cord-017142-vx3rgs4r 359 51 Fanconi Fanconi NNP cord-017142-vx3rgs4r 359 52 's 's POS cord-017142-vx3rgs4r 359 53 syndrome syndrome NN cord-017142-vx3rgs4r 359 54 induced induce VBN cord-017142-vx3rgs4r 359 55 by by IN cord-017142-vx3rgs4r 359 56 a a DT cord-017142-vx3rgs4r 359 57 monoclonal monoclonal JJ cord-017142-vx3rgs4r 359 58 Vκ3 vκ3 NN cord-017142-vx3rgs4r 359 59 light light JJ cord-017142-vx3rgs4r 359 60 chain chain NN cord-017142-vx3rgs4r 359 61 in in IN cord-017142-vx3rgs4r 359 62 Waldenström Waldenström NNP cord-017142-vx3rgs4r 359 63 's 's POS cord-017142-vx3rgs4r 359 64 macroglobulinemia macroglobulinemia NN cord-017142-vx3rgs4r 359 65 Thalidomide Thalidomide NNP cord-017142-vx3rgs4r 359 66 - - HYPH cord-017142-vx3rgs4r 359 67 induced induce VBN cord-017142-vx3rgs4r 359 68 reversible reversible JJ cord-017142-vx3rgs4r 359 69 interstitial interstitial JJ cord-017142-vx3rgs4r 359 70 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 359 71 in in IN cord-017142-vx3rgs4r 359 72 a a DT cord-017142-vx3rgs4r 359 73 patient patient NN cord-017142-vx3rgs4r 359 74 with with IN cord-017142-vx3rgs4r 359 75 recurrent recurrent JJ cord-017142-vx3rgs4r 359 76 ovarian ovarian JJ cord-017142-vx3rgs4r 359 77 cancer cancer NN cord-017142-vx3rgs4r 359 78 Intracranial intracranial JJ cord-017142-vx3rgs4r 359 79 involvement involvement NN cord-017142-vx3rgs4r 359 80 in in IN cord-017142-vx3rgs4r 359 81 plasmacytomas plasmacytomas NN cord-017142-vx3rgs4r 359 82 and and CC cord-017142-vx3rgs4r 359 83 multiple multiple JJ cord-017142-vx3rgs4r 359 84 myeloma myeloma NN cord-017142-vx3rgs4r 359 85 : : : cord-017142-vx3rgs4r 359 86 a a DT cord-017142-vx3rgs4r 359 87 pictorial pictorial JJ cord-017142-vx3rgs4r 359 88 essay essay NN cord-017142-vx3rgs4r 359 89 Tumor tumor NN cord-017142-vx3rgs4r 359 90 lysis lysis NN cord-017142-vx3rgs4r 359 91 syndrome syndrome NN cord-017142-vx3rgs4r 359 92 in in IN cord-017142-vx3rgs4r 359 93 patients patient NNS cord-017142-vx3rgs4r 359 94 with with IN cord-017142-vx3rgs4r 359 95 light light JJ cord-017142-vx3rgs4r 359 96 chain chain NN cord-017142-vx3rgs4r 359 97 multiple multiple JJ cord-017142-vx3rgs4r 359 98 myeloma myeloma NN cord-017142-vx3rgs4r 359 99 : : : cord-017142-vx3rgs4r 359 100 report report NN cord-017142-vx3rgs4r 359 101 of of IN cord-017142-vx3rgs4r 359 102 two two CD cord-017142-vx3rgs4r 359 103 cases case NNS cord-017142-vx3rgs4r 359 104 Renal renal JJ cord-017142-vx3rgs4r 359 105 failure failure NN cord-017142-vx3rgs4r 359 106 with with IN cord-017142-vx3rgs4r 359 107 the the DT cord-017142-vx3rgs4r 359 108 use use NN cord-017142-vx3rgs4r 359 109 of of IN cord-017142-vx3rgs4r 359 110 zoledronic zoledronic NNP cord-017142-vx3rgs4r 359 111 acid acid JJ cord-017142-vx3rgs4r 359 112 Lenalidomide Lenalidomide NNP cord-017142-vx3rgs4r 359 113 - - HYPH cord-017142-vx3rgs4r 359 114 induced induce VBN cord-017142-vx3rgs4r 359 115 interstitial interstitial JJ cord-017142-vx3rgs4r 359 116 lung lung NN cord-017142-vx3rgs4r 359 117 disease disease NN cord-017142-vx3rgs4r 359 118 Plasma Plasma NNP cord-017142-vx3rgs4r 359 119 exchange exchange NN cord-017142-vx3rgs4r 359 120 when when WRB cord-017142-vx3rgs4r 359 121 myeloma myeloma NN cord-017142-vx3rgs4r 359 122 presents present VBZ cord-017142-vx3rgs4r 359 123 as as IN cord-017142-vx3rgs4r 359 124 acute acute JJ cord-017142-vx3rgs4r 359 125 renal renal JJ cord-017142-vx3rgs4r 359 126 failure failure NN cord-017142-vx3rgs4r 359 127 : : : cord-017142-vx3rgs4r 359 128 a a DT cord-017142-vx3rgs4r 359 129 randomized randomized JJ cord-017142-vx3rgs4r 359 130 , , , cord-017142-vx3rgs4r 359 131 controlled control VBN cord-017142-vx3rgs4r 359 132 trial trial NN cord-017142-vx3rgs4r 359 133 High high JJ cord-017142-vx3rgs4r 359 134 cut cut VB cord-017142-vx3rgs4r 359 135 - - HYPH cord-017142-vx3rgs4r 359 136 off off RP cord-017142-vx3rgs4r 359 137 haemodialysis haemodialysis NNP cord-017142-vx3rgs4r 359 138 ( ( -LRB- cord-017142-vx3rgs4r 359 139 HCO HCO NNP cord-017142-vx3rgs4r 359 140 - - HYPH cord-017142-vx3rgs4r 359 141 HD HD NNP cord-017142-vx3rgs4r 359 142 ) ) -RRB- cord-017142-vx3rgs4r 359 143 does do VBZ cord-017142-vx3rgs4r 359 144 not not RB cord-017142-vx3rgs4r 359 145 improve improve VB cord-017142-vx3rgs4r 359 146 outcomes outcome NNS cord-017142-vx3rgs4r 359 147 in in IN cord-017142-vx3rgs4r 359 148 myeloma myeloma NN cord-017142-vx3rgs4r 359 149 cast cast VBN cord-017142-vx3rgs4r 359 150 nephropathy nephropathy NN cord-017142-vx3rgs4r 359 151 : : : cord-017142-vx3rgs4r 359 152 results result NNS cord-017142-vx3rgs4r 359 153 of of IN cord-017142-vx3rgs4r 359 154 European european JJ cord-017142-vx3rgs4r 359 155 trial trial NN cord-017142-vx3rgs4r 359 156 of of IN cord-017142-vx3rgs4r 359 157 Free Free NNP cord-017142-vx3rgs4r 359 158 Light Light NNP cord-017142-vx3rgs4r 359 159 Chain Chain NNP cord-017142-vx3rgs4r 359 160 removal removal NN cord-017142-vx3rgs4r 359 161 by by IN cord-017142-vx3rgs4r 359 162 extended extended JJ cord-017142-vx3rgs4r 359 163 haemodialysis haemodialysis NN cord-017142-vx3rgs4r 359 164 in in IN cord-017142-vx3rgs4r 359 165 cast cast NN cord-017142-vx3rgs4r 359 166 nephropathy nephropathy NN cord-017142-vx3rgs4r 359 167 Rapid Rapid NNP cord-017142-vx3rgs4r 359 168 complete complete JJ cord-017142-vx3rgs4r 359 169 remission remission NN cord-017142-vx3rgs4r 359 170 in in IN cord-017142-vx3rgs4r 359 171 multiple multiple JJ cord-017142-vx3rgs4r 359 172 myeloma myeloma NN cord-017142-vx3rgs4r 359 173 with with IN cord-017142-vx3rgs4r 359 174 bortezomib bortezomib NNP cord-017142-vx3rgs4r 359 175 / / SYM cord-017142-vx3rgs4r 359 176 thalidomide thalidomide NN cord-017142-vx3rgs4r 359 177 / / SYM cord-017142-vx3rgs4r 359 178 dexamethasone dexamethasone NN cord-017142-vx3rgs4r 359 179 combination combination NN cord-017142-vx3rgs4r 359 180 therapy therapy NN cord-017142-vx3rgs4r 359 181 following follow VBG cord-017142-vx3rgs4r 359 182 development development NN cord-017142-vx3rgs4r 359 183 of of IN cord-017142-vx3rgs4r 359 184 tumor tumor NN cord-017142-vx3rgs4r 359 185 lysis lysis NN cord-017142-vx3rgs4r 359 186 syndrome syndrome NN cord-017142-vx3rgs4r 359 187 Effect effect NN cord-017142-vx3rgs4r 359 188 of of IN cord-017142-vx3rgs4r 359 189 steroid steroid NN cord-017142-vx3rgs4r 359 190 therapy therapy NN cord-017142-vx3rgs4r 359 191 on on IN cord-017142-vx3rgs4r 359 192 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 359 193 and and CC cord-017142-vx3rgs4r 359 194 renal renal JJ cord-017142-vx3rgs4r 359 195 insufficiency insufficiency NN cord-017142-vx3rgs4r 359 196 in in IN cord-017142-vx3rgs4r 359 197 sarcoidosis sarcoidosis NN cord-017142-vx3rgs4r 359 198 Alveolar alveolar NN cord-017142-vx3rgs4r 359 199 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 359 200 . . . cord-017142-vx3rgs4r 360 1 Diagnostic diagnostic JJ cord-017142-vx3rgs4r 360 2 criteria criterion NNS cord-017142-vx3rgs4r 360 3 and and CC cord-017142-vx3rgs4r 360 4 results result NNS cord-017142-vx3rgs4r 360 5 in in IN cord-017142-vx3rgs4r 360 6 194 194 CD cord-017142-vx3rgs4r 360 7 immunocompromised immunocompromised JJ cord-017142-vx3rgs4r 360 8 hosts host NNS cord-017142-vx3rgs4r 360 9 New new JJ cord-017142-vx3rgs4r 360 10 anticoagulants anticoagulant NNS cord-017142-vx3rgs4r 360 11 in in IN cord-017142-vx3rgs4r 360 12 the the DT cord-017142-vx3rgs4r 360 13 treatment treatment NN cord-017142-vx3rgs4r 360 14 of of IN cord-017142-vx3rgs4r 360 15 patients patient NNS cord-017142-vx3rgs4r 360 16 with with IN cord-017142-vx3rgs4r 360 17 cancer cancer NN cord-017142-vx3rgs4r 360 18 - - HYPH cord-017142-vx3rgs4r 360 19 associated associate VBN cord-017142-vx3rgs4r 360 20 venous venous JJ cord-017142-vx3rgs4r 360 21 thromboembolism thromboembolism NN cord-017142-vx3rgs4r 360 22 Metabolic metabolic JJ cord-017142-vx3rgs4r 360 23 disorders disorder NNS cord-017142-vx3rgs4r 360 24 in in IN cord-017142-vx3rgs4r 360 25 hematologic hematologic JJ cord-017142-vx3rgs4r 360 26 malignancies malignancy NNS cord-017142-vx3rgs4r 360 27 - - : cord-017142-vx3rgs4r 360 28 A a DT cord-017142-vx3rgs4r 360 29 review review NN cord-017142-vx3rgs4r 361 1 Guidelines guideline NNS cord-017142-vx3rgs4r 361 2 for for IN cord-017142-vx3rgs4r 361 3 standard standard JJ cord-017142-vx3rgs4r 361 4 investigative investigative JJ cord-017142-vx3rgs4r 361 5 workup workup NN cord-017142-vx3rgs4r 361 6 : : : cord-017142-vx3rgs4r 361 7 report report NN cord-017142-vx3rgs4r 361 8 of of IN cord-017142-vx3rgs4r 361 9 the the DT cord-017142-vx3rgs4r 361 10 International International NNP cord-017142-vx3rgs4r 361 11 Myeloma Myeloma NNP cord-017142-vx3rgs4r 361 12 Workshop Workshop NNP cord-017142-vx3rgs4r 361 13 Consensus Consensus NNP cord-017142-vx3rgs4r 361 14 Panel Panel NNP cord-017142-vx3rgs4r 361 15 3 3 CD cord-017142-vx3rgs4r 361 16 Renal renal JJ cord-017142-vx3rgs4r 361 17 impairment impairment NN cord-017142-vx3rgs4r 361 18 in in IN cord-017142-vx3rgs4r 361 19 patients patient NNS cord-017142-vx3rgs4r 361 20 with with IN cord-017142-vx3rgs4r 361 21 multiple multiple JJ cord-017142-vx3rgs4r 361 22 myeloma myeloma NN cord-017142-vx3rgs4r 361 23 : : : cord-017142-vx3rgs4r 362 1 a a DT cord-017142-vx3rgs4r 362 2 consensus consensus NN cord-017142-vx3rgs4r 362 3 statement statement NN cord-017142-vx3rgs4r 362 4 on on IN cord-017142-vx3rgs4r 362 5 behalf behalf NN cord-017142-vx3rgs4r 362 6 of of IN cord-017142-vx3rgs4r 362 7 the the DT cord-017142-vx3rgs4r 362 8 International International NNP cord-017142-vx3rgs4r 362 9 Myeloma Myeloma NNP cord-017142-vx3rgs4r 362 10 Working Working NNP cord-017142-vx3rgs4r 362 11 Group Group NNP cord-017142-vx3rgs4r 362 12 VMP VMP NNP cord-017142-vx3rgs4r 362 13 ( ( -LRB- cord-017142-vx3rgs4r 362 14 Bortezomib Bortezomib NNP cord-017142-vx3rgs4r 362 15 , , , cord-017142-vx3rgs4r 362 16 Melphalan Melphalan NNP cord-017142-vx3rgs4r 362 17 , , , cord-017142-vx3rgs4r 362 18 and and CC cord-017142-vx3rgs4r 362 19 Prednisone Prednisone NNP cord-017142-vx3rgs4r 362 20 ) ) -RRB- cord-017142-vx3rgs4r 362 21 is be VBZ cord-017142-vx3rgs4r 362 22 active active JJ cord-017142-vx3rgs4r 362 23 and and CC cord-017142-vx3rgs4r 362 24 well well RB cord-017142-vx3rgs4r 362 25 tolerated tolerate VBN cord-017142-vx3rgs4r 362 26 in in IN cord-017142-vx3rgs4r 362 27 newly newly RB cord-017142-vx3rgs4r 362 28 diagnosed diagnose VBN cord-017142-vx3rgs4r 362 29 patients patient NNS cord-017142-vx3rgs4r 362 30 with with IN cord-017142-vx3rgs4r 362 31 multiple multiple JJ cord-017142-vx3rgs4r 362 32 myeloma myeloma NN cord-017142-vx3rgs4r 362 33 with with IN cord-017142-vx3rgs4r 362 34 moderately moderately RB cord-017142-vx3rgs4r 362 35 impaired impaired JJ cord-017142-vx3rgs4r 362 36 renal renal JJ cord-017142-vx3rgs4r 362 37 function function NN cord-017142-vx3rgs4r 362 38 , , , cord-017142-vx3rgs4r 362 39 and and CC cord-017142-vx3rgs4r 362 40 results result NNS cord-017142-vx3rgs4r 362 41 in in IN cord-017142-vx3rgs4r 362 42 reversal reversal NN cord-017142-vx3rgs4r 362 43 of of IN cord-017142-vx3rgs4r 362 44 renal renal JJ cord-017142-vx3rgs4r 362 45 impairment impairment NN cord-017142-vx3rgs4r 362 46 : : : cord-017142-vx3rgs4r 362 47 cohort cohort NN cord-017142-vx3rgs4r 362 48 analysis analysis NN cord-017142-vx3rgs4r 362 49 of of IN cord-017142-vx3rgs4r 362 50 the the DT cord-017142-vx3rgs4r 362 51 phase phase NN cord-017142-vx3rgs4r 362 52 III iii CD cord-017142-vx3rgs4r 362 53 VISTA VISTA NNP cord-017142-vx3rgs4r 362 54 study study NN cord-017142-vx3rgs4r 362 55 Neurologic neurologic JJ cord-017142-vx3rgs4r 362 56 complications complication NNS cord-017142-vx3rgs4r 362 57 of of IN cord-017142-vx3rgs4r 362 58 plasma plasma NN cord-017142-vx3rgs4r 362 59 cell cell NN cord-017142-vx3rgs4r 362 60 disorders disorder NNS cord-017142-vx3rgs4r 363 1 The the DT cord-017142-vx3rgs4r 363 2 clinical clinical JJ cord-017142-vx3rgs4r 363 3 features feature NNS cord-017142-vx3rgs4r 363 4 of of IN cord-017142-vx3rgs4r 363 5 immunoglobulin immunoglobulin NN cord-017142-vx3rgs4r 363 6 light light JJ cord-017142-vx3rgs4r 363 7 - - HYPH cord-017142-vx3rgs4r 363 8 chain chain NN cord-017142-vx3rgs4r 363 9 ( ( -LRB- cord-017142-vx3rgs4r 363 10 AL AL NNP cord-017142-vx3rgs4r 363 11 ) ) -RRB- cord-017142-vx3rgs4r 363 12 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 363 13 with with IN cord-017142-vx3rgs4r 363 14 heart heart NN cord-017142-vx3rgs4r 363 15 involvement involvement NN cord-017142-vx3rgs4r 363 16 Acquired acquire VBD cord-017142-vx3rgs4r 363 17 resistance resistance NN cord-017142-vx3rgs4r 363 18 to to IN cord-017142-vx3rgs4r 363 19 activated activate VBN cord-017142-vx3rgs4r 363 20 protein protein NN cord-017142-vx3rgs4r 363 21 C C NNP cord-017142-vx3rgs4r 363 22 ( ( -LRB- cord-017142-vx3rgs4r 363 23 aAPCR aAPCR NNP cord-017142-vx3rgs4r 363 24 ) ) -RRB- cord-017142-vx3rgs4r 363 25 in in IN cord-017142-vx3rgs4r 363 26 multiple multiple JJ cord-017142-vx3rgs4r 363 27 myeloma myeloma NN cord-017142-vx3rgs4r 363 28 is be VBZ cord-017142-vx3rgs4r 363 29 a a DT cord-017142-vx3rgs4r 363 30 transitory transitory JJ cord-017142-vx3rgs4r 363 31 abnormality abnormality NN cord-017142-vx3rgs4r 363 32 associated associate VBN cord-017142-vx3rgs4r 363 33 with with IN cord-017142-vx3rgs4r 363 34 an an DT cord-017142-vx3rgs4r 363 35 increased increase VBN cord-017142-vx3rgs4r 363 36 risk risk NN cord-017142-vx3rgs4r 363 37 of of IN cord-017142-vx3rgs4r 363 38 venous venous JJ cord-017142-vx3rgs4r 363 39 thromboembolism thromboembolism NN cord-017142-vx3rgs4r 363 40 Myeloma Myeloma NNP cord-017142-vx3rgs4r 363 41 of of IN cord-017142-vx3rgs4r 363 42 the the DT cord-017142-vx3rgs4r 363 43 central central JJ cord-017142-vx3rgs4r 363 44 nervous nervous JJ cord-017142-vx3rgs4r 363 45 system system NN cord-017142-vx3rgs4r 363 46 : : : cord-017142-vx3rgs4r 363 47 strong strong JJ cord-017142-vx3rgs4r 363 48 association association NN cord-017142-vx3rgs4r 363 49 with with IN cord-017142-vx3rgs4r 363 50 unfavorable unfavorable JJ cord-017142-vx3rgs4r 363 51 chromosomal chromosomal JJ cord-017142-vx3rgs4r 363 52 abnormalities abnormality NNS cord-017142-vx3rgs4r 363 53 and and CC cord-017142-vx3rgs4r 363 54 other other JJ cord-017142-vx3rgs4r 363 55 high high JJ cord-017142-vx3rgs4r 363 56 - - HYPH cord-017142-vx3rgs4r 363 57 risk risk NN cord-017142-vx3rgs4r 363 58 disease disease NN cord-017142-vx3rgs4r 363 59 features feature VBZ cord-017142-vx3rgs4r 363 60 Tumour tumour NN cord-017142-vx3rgs4r 363 61 lysis lysis NN cord-017142-vx3rgs4r 363 62 syndrome syndrome NN cord-017142-vx3rgs4r 363 63 complicating complicate VBG cord-017142-vx3rgs4r 363 64 high high JJ cord-017142-vx3rgs4r 363 65 - - HYPH cord-017142-vx3rgs4r 363 66 dose dose NN cord-017142-vx3rgs4r 363 67 treatment treatment NN cord-017142-vx3rgs4r 363 68 in in IN cord-017142-vx3rgs4r 363 69 patients patient NNS cord-017142-vx3rgs4r 363 70 with with IN cord-017142-vx3rgs4r 363 71 multiple multiple JJ cord-017142-vx3rgs4r 363 72 myeloma myeloma NN cord-017142-vx3rgs4r 363 73 Intracardiac Intracardiac NNP cord-017142-vx3rgs4r 363 74 thrombosis thrombosis NN cord-017142-vx3rgs4r 363 75 and and CC cord-017142-vx3rgs4r 363 76 anticoagulation anticoagulation NN cord-017142-vx3rgs4r 363 77 therapy therapy NN cord-017142-vx3rgs4r 363 78 in in IN cord-017142-vx3rgs4r 363 79 cardiac cardiac JJ cord-017142-vx3rgs4r 363 80 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 363 81 Denosumab Denosumab NNP cord-017142-vx3rgs4r 363 82 versus versus IN cord-017142-vx3rgs4r 363 83 zoledronic zoledronic NNP cord-017142-vx3rgs4r 363 84 acid acid NN cord-017142-vx3rgs4r 363 85 for for IN cord-017142-vx3rgs4r 363 86 treatment treatment NN cord-017142-vx3rgs4r 363 87 of of IN cord-017142-vx3rgs4r 363 88 bone bone NN cord-017142-vx3rgs4r 363 89 metastases metastasis NNS cord-017142-vx3rgs4r 363 90 in in IN cord-017142-vx3rgs4r 363 91 men man NNS cord-017142-vx3rgs4r 363 92 with with IN cord-017142-vx3rgs4r 363 93 castration castration NN cord-017142-vx3rgs4r 363 94 - - HYPH cord-017142-vx3rgs4r 363 95 resistant resistant JJ cord-017142-vx3rgs4r 363 96 prostate prostate NN cord-017142-vx3rgs4r 363 97 cancer cancer NN cord-017142-vx3rgs4r 363 98 : : : cord-017142-vx3rgs4r 364 1 a a DT cord-017142-vx3rgs4r 364 2 randomised randomised JJ cord-017142-vx3rgs4r 364 3 , , , cord-017142-vx3rgs4r 364 4 double double JJ cord-017142-vx3rgs4r 364 5 - - HYPH cord-017142-vx3rgs4r 364 6 blind blind JJ cord-017142-vx3rgs4r 364 7 study study NN cord-017142-vx3rgs4r 364 8 Tumor tumor NN cord-017142-vx3rgs4r 364 9 lysis lysis NN cord-017142-vx3rgs4r 364 10 syndrome syndrome NN cord-017142-vx3rgs4r 364 11 in in IN cord-017142-vx3rgs4r 364 12 a a DT cord-017142-vx3rgs4r 364 13 multiple multiple JJ cord-017142-vx3rgs4r 364 14 myeloma myeloma NN cord-017142-vx3rgs4r 364 15 treated treat VBN cord-017142-vx3rgs4r 364 16 with with IN cord-017142-vx3rgs4r 364 17 thalidomide thalidomide NN cord-017142-vx3rgs4r 364 18 Mechanisms mechanism NNS cord-017142-vx3rgs4r 364 19 and and CC cord-017142-vx3rgs4r 364 20 treatment treatment NN cord-017142-vx3rgs4r 364 21 of of IN cord-017142-vx3rgs4r 364 22 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 364 23 of of IN cord-017142-vx3rgs4r 364 24 malignancy malignancy NN cord-017142-vx3rgs4r 364 25 Aggressive aggressive JJ cord-017142-vx3rgs4r 364 26 phase phase NN cord-017142-vx3rgs4r 364 27 of of IN cord-017142-vx3rgs4r 364 28 multiple multiple JJ cord-017142-vx3rgs4r 364 29 myeloma myeloma NN cord-017142-vx3rgs4r 364 30 with with IN cord-017142-vx3rgs4r 364 31 pulmonary pulmonary JJ cord-017142-vx3rgs4r 364 32 plasma plasma NN cord-017142-vx3rgs4r 364 33 cell cell NN cord-017142-vx3rgs4r 364 34 infiltrates infiltrate VBZ cord-017142-vx3rgs4r 364 35 Selective selective JJ cord-017142-vx3rgs4r 364 36 binding binding NN cord-017142-vx3rgs4r 364 37 of of IN cord-017142-vx3rgs4r 364 38 nifedipine nifedipine NN cord-017142-vx3rgs4r 364 39 to to IN cord-017142-vx3rgs4r 364 40 amyloid amyloid NN cord-017142-vx3rgs4r 364 41 fibrils fibril NNS cord-017142-vx3rgs4r 364 42 Occult occult JJ cord-017142-vx3rgs4r 364 43 pulmonary pulmonary JJ cord-017142-vx3rgs4r 364 44 haemorrhage haemorrhage NN cord-017142-vx3rgs4r 364 45 in in IN cord-017142-vx3rgs4r 364 46 leukaemia leukaemia NN cord-017142-vx3rgs4r 364 47 Improvement improvement NN cord-017142-vx3rgs4r 364 48 in in IN cord-017142-vx3rgs4r 364 49 renal renal JJ cord-017142-vx3rgs4r 364 50 function function NN cord-017142-vx3rgs4r 364 51 and and CC cord-017142-vx3rgs4r 364 52 its -PRON- PRP$ cord-017142-vx3rgs4r 364 53 impact impact NN cord-017142-vx3rgs4r 364 54 on on IN cord-017142-vx3rgs4r 364 55 survival survival NN cord-017142-vx3rgs4r 364 56 in in IN cord-017142-vx3rgs4r 364 57 patients patient NNS cord-017142-vx3rgs4r 364 58 with with IN cord-017142-vx3rgs4r 364 59 newly newly RB cord-017142-vx3rgs4r 364 60 diagnosed diagnose VBN cord-017142-vx3rgs4r 364 61 multiple multiple JJ cord-017142-vx3rgs4r 364 62 myeloma myeloma NN cord-017142-vx3rgs4r 364 63 Spinal spinal JJ cord-017142-vx3rgs4r 364 64 cord cord NN cord-017142-vx3rgs4r 364 65 compression compression NN cord-017142-vx3rgs4r 364 66 . . . cord-017142-vx3rgs4r 365 1 In in IN cord-017142-vx3rgs4r 365 2 : : : cord-017142-vx3rgs4r 365 3 Decision decision NN cord-017142-vx3rgs4r 365 4 making making NN cord-017142-vx3rgs4r 365 5 in in IN cord-017142-vx3rgs4r 365 6 medicine medicine NN cord-017142-vx3rgs4r 366 1 A a DT cord-017142-vx3rgs4r 366 2 pilot pilot NN cord-017142-vx3rgs4r 366 3 randomised randomised JJ cord-017142-vx3rgs4r 366 4 comparison comparison NN cord-017142-vx3rgs4r 366 5 of of IN cord-017142-vx3rgs4r 366 6 dexamethasone dexamethasone NNP cord-017142-vx3rgs4r 366 7 96 96 CD cord-017142-vx3rgs4r 366 8 mg mg NNP cord-017142-vx3rgs4r 366 9 vs vs IN cord-017142-vx3rgs4r 366 10 16 16 CD cord-017142-vx3rgs4r 366 11 mg mg NN cord-017142-vx3rgs4r 366 12 per per IN cord-017142-vx3rgs4r 366 13 day day NN cord-017142-vx3rgs4r 366 14 for for IN cord-017142-vx3rgs4r 366 15 malignant malignant JJ cord-017142-vx3rgs4r 366 16 spinal spinal JJ cord-017142-vx3rgs4r 366 17 - - HYPH cord-017142-vx3rgs4r 366 18 cord cord NN cord-017142-vx3rgs4r 366 19 compression compression NN cord-017142-vx3rgs4r 366 20 treated treat VBN cord-017142-vx3rgs4r 366 21 by by IN cord-017142-vx3rgs4r 366 22 radiotherapy radiotherapy NN cord-017142-vx3rgs4r 366 23 : : : cord-017142-vx3rgs4r 367 1 TROG TROG NNP cord-017142-vx3rgs4r 367 2 01.05 01.05 CD cord-017142-vx3rgs4r 368 1 Superdex Superdex NNP cord-017142-vx3rgs4r 368 2 study study NN cord-017142-vx3rgs4r 368 3 Plasmablastic Plasmablastic NNP cord-017142-vx3rgs4r 368 4 morphologyan morphologyan NN cord-017142-vx3rgs4r 368 5 independent independent JJ cord-017142-vx3rgs4r 368 6 prognostic prognostic JJ cord-017142-vx3rgs4r 368 7 factor factor NN cord-017142-vx3rgs4r 368 8 with with IN cord-017142-vx3rgs4r 368 9 clinical clinical JJ cord-017142-vx3rgs4r 368 10 and and CC cord-017142-vx3rgs4r 368 11 laboratory laboratory NN cord-017142-vx3rgs4r 368 12 correlates correlate VBZ cord-017142-vx3rgs4r 368 13 : : : cord-017142-vx3rgs4r 368 14 Eastern Eastern NNP cord-017142-vx3rgs4r 368 15 Cooperative Cooperative NNP cord-017142-vx3rgs4r 368 16 Oncology Oncology NNP cord-017142-vx3rgs4r 368 17 Group Group NNP cord-017142-vx3rgs4r 368 18 ( ( -LRB- cord-017142-vx3rgs4r 368 19 ECOG ECOG NNP cord-017142-vx3rgs4r 368 20 ) ) -RRB- cord-017142-vx3rgs4r 368 21 myeloma myeloma NN cord-017142-vx3rgs4r 368 22 trial trial NN cord-017142-vx3rgs4r 368 23 E9486 E9486 NNP cord-017142-vx3rgs4r 368 24 report report NN cord-017142-vx3rgs4r 368 25 by by IN cord-017142-vx3rgs4r 368 26 the the DT cord-017142-vx3rgs4r 368 27 ECOG ECOG NNP cord-017142-vx3rgs4r 368 28 Myeloma Myeloma NNP cord-017142-vx3rgs4r 368 29 Laboratory Laboratory NNP cord-017142-vx3rgs4r 368 30 Group Group NNP cord-017142-vx3rgs4r 368 31 Light Light NNP cord-017142-vx3rgs4r 368 32 - - HYPH cord-017142-vx3rgs4r 368 33 chain chain NN cord-017142-vx3rgs4r 368 34 cardiac cardiac JJ cord-017142-vx3rgs4r 368 35 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 368 36 : : : cord-017142-vx3rgs4r 368 37 strategies strategy NNS cord-017142-vx3rgs4r 368 38 to to TO cord-017142-vx3rgs4r 368 39 promote promote VB cord-017142-vx3rgs4r 368 40 early early JJ cord-017142-vx3rgs4r 368 41 diagnosis diagnosis NN cord-017142-vx3rgs4r 368 42 and and CC cord-017142-vx3rgs4r 368 43 cardiac cardiac JJ cord-017142-vx3rgs4r 368 44 response response NN cord-017142-vx3rgs4r 368 45 Outcome outcome NN cord-017142-vx3rgs4r 368 46 and and CC cord-017142-vx3rgs4r 368 47 incidence incidence NN cord-017142-vx3rgs4r 368 48 of of IN cord-017142-vx3rgs4r 368 49 appropriate appropriate JJ cord-017142-vx3rgs4r 368 50 implantable implantable JJ cord-017142-vx3rgs4r 368 51 cardioverterdefibrillator cardioverterdefibrillator NN cord-017142-vx3rgs4r 368 52 therapy therapy NN cord-017142-vx3rgs4r 368 53 in in IN cord-017142-vx3rgs4r 368 54 patients patient NNS cord-017142-vx3rgs4r 368 55 with with IN cord-017142-vx3rgs4r 368 56 cardiac cardiac JJ cord-017142-vx3rgs4r 368 57 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 368 58 Hyperviscosity Hyperviscosity NNP cord-017142-vx3rgs4r 368 59 in in IN cord-017142-vx3rgs4r 368 60 plasma plasma NN cord-017142-vx3rgs4r 368 61 cell cell NN cord-017142-vx3rgs4r 368 62 dyscrasias dyscrasia NNS cord-017142-vx3rgs4r 369 1 Randomized randomized JJ cord-017142-vx3rgs4r 369 2 , , , cord-017142-vx3rgs4r 369 3 double double JJ cord-017142-vx3rgs4r 369 4 - - HYPH cord-017142-vx3rgs4r 369 5 blind blind JJ cord-017142-vx3rgs4r 369 6 study study NN cord-017142-vx3rgs4r 369 7 of of IN cord-017142-vx3rgs4r 369 8 denosumab denosumab NNP cord-017142-vx3rgs4r 369 9 versus versus IN cord-017142-vx3rgs4r 369 10 zoledronic zoledronic NNP cord-017142-vx3rgs4r 369 11 acid acid NN cord-017142-vx3rgs4r 369 12 in in IN cord-017142-vx3rgs4r 369 13 the the DT cord-017142-vx3rgs4r 369 14 treatment treatment NN cord-017142-vx3rgs4r 369 15 of of IN cord-017142-vx3rgs4r 369 16 bone bone NN cord-017142-vx3rgs4r 369 17 metastases metastasis NNS cord-017142-vx3rgs4r 369 18 in in IN cord-017142-vx3rgs4r 369 19 patients patient NNS cord-017142-vx3rgs4r 369 20 with with IN cord-017142-vx3rgs4r 369 21 advanced advanced JJ cord-017142-vx3rgs4r 369 22 cancer cancer NN cord-017142-vx3rgs4r 369 23 ( ( -LRB- cord-017142-vx3rgs4r 369 24 excluding exclude VBG cord-017142-vx3rgs4r 369 25 breast breast NN cord-017142-vx3rgs4r 369 26 and and CC cord-017142-vx3rgs4r 369 27 prostate prostate NN cord-017142-vx3rgs4r 369 28 cancer cancer NN cord-017142-vx3rgs4r 369 29 ) ) -RRB- cord-017142-vx3rgs4r 369 30 or or CC cord-017142-vx3rgs4r 369 31 multiple multiple JJ cord-017142-vx3rgs4r 369 32 myeloma myeloma NN cord-017142-vx3rgs4r 369 33 Renal Renal NNP cord-017142-vx3rgs4r 369 34 thrombotic thrombotic JJ cord-017142-vx3rgs4r 369 35 microangiopathy microangiopathy NNP cord-017142-vx3rgs4r 369 36 and and CC cord-017142-vx3rgs4r 369 37 podocytopathy podocytopathy NNP cord-017142-vx3rgs4r 369 38 associated associate VBN cord-017142-vx3rgs4r 369 39 with with IN cord-017142-vx3rgs4r 369 40 the the DT cord-017142-vx3rgs4r 369 41 use use NN cord-017142-vx3rgs4r 369 42 of of IN cord-017142-vx3rgs4r 369 43 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 369 44 in in IN cord-017142-vx3rgs4r 369 45 a a DT cord-017142-vx3rgs4r 369 46 patient patient NN cord-017142-vx3rgs4r 369 47 with with IN cord-017142-vx3rgs4r 369 48 multiple multiple JJ cord-017142-vx3rgs4r 369 49 myeloma myeloma NN cord-017142-vx3rgs4r 369 50 Bortezomib Bortezomib NNP cord-017142-vx3rgs4r 369 51 and and CC cord-017142-vx3rgs4r 369 52 heart heart NN cord-017142-vx3rgs4r 369 53 failure failure NN cord-017142-vx3rgs4r 369 54 : : : cord-017142-vx3rgs4r 369 55 case case NN cord-017142-vx3rgs4r 369 56 - - HYPH cord-017142-vx3rgs4r 369 57 report report NN cord-017142-vx3rgs4r 369 58 and and CC cord-017142-vx3rgs4r 369 59 review review NN cord-017142-vx3rgs4r 369 60 of of IN cord-017142-vx3rgs4r 369 61 the the DT cord-017142-vx3rgs4r 369 62 French French NNP cord-017142-vx3rgs4r 369 63 Pharmacovigilance Pharmacovigilance NNP cord-017142-vx3rgs4r 369 64 database database NN cord-017142-vx3rgs4r 369 65 Risk risk NN cord-017142-vx3rgs4r 369 66 of of IN cord-017142-vx3rgs4r 369 67 early early JJ cord-017142-vx3rgs4r 369 68 mortality mortality NN cord-017142-vx3rgs4r 369 69 in in IN cord-017142-vx3rgs4r 369 70 patients patient NNS cord-017142-vx3rgs4r 369 71 with with IN cord-017142-vx3rgs4r 369 72 newly newly RB cord-017142-vx3rgs4r 369 73 diagnosed diagnose VBN cord-017142-vx3rgs4r 369 74 multiple multiple JJ cord-017142-vx3rgs4r 369 75 myeloma myeloma NN cord-017142-vx3rgs4r 369 76 Multiple multiple JJ cord-017142-vx3rgs4r 369 77 intraparenchymal intraparenchymal JJ cord-017142-vx3rgs4r 369 78 brain brain NN cord-017142-vx3rgs4r 369 79 plasmacytomas plasmacytomas NN cord-017142-vx3rgs4r 369 80 with with IN cord-017142-vx3rgs4r 369 81 spontaneous spontaneous JJ cord-017142-vx3rgs4r 369 82 intratumoral intratumoral JJ cord-017142-vx3rgs4r 369 83 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 369 84 Treatment treatment NN cord-017142-vx3rgs4r 369 85 of of IN cord-017142-vx3rgs4r 369 86 acute acute JJ cord-017142-vx3rgs4r 369 87 renal renal JJ cord-017142-vx3rgs4r 369 88 failure failure NN cord-017142-vx3rgs4r 369 89 secondary secondary JJ cord-017142-vx3rgs4r 369 90 to to IN cord-017142-vx3rgs4r 369 91 multiple multiple JJ cord-017142-vx3rgs4r 369 92 myeloma myeloma NN cord-017142-vx3rgs4r 369 93 with with IN cord-017142-vx3rgs4r 369 94 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 369 95 and and CC cord-017142-vx3rgs4r 369 96 extended extend VBN cord-017142-vx3rgs4r 369 97 high high JJ cord-017142-vx3rgs4r 369 98 cut cut VBN cord-017142-vx3rgs4r 369 99 - - HYPH cord-017142-vx3rgs4r 369 100 off off RP cord-017142-vx3rgs4r 369 101 hemodialysis hemodialysis NN cord-017142-vx3rgs4r 370 1 The the DT cord-017142-vx3rgs4r 370 2 pathogenesis pathogenesis NN cord-017142-vx3rgs4r 370 3 and and CC cord-017142-vx3rgs4r 370 4 diagnosis diagnosis NN cord-017142-vx3rgs4r 370 5 of of IN cord-017142-vx3rgs4r 370 6 acute acute JJ cord-017142-vx3rgs4r 370 7 kidney kidney NN cord-017142-vx3rgs4r 370 8 injury injury NN cord-017142-vx3rgs4r 370 9 in in IN cord-017142-vx3rgs4r 370 10 multiple multiple JJ cord-017142-vx3rgs4r 370 11 myeloma myeloma NN cord-017142-vx3rgs4r 370 12 Early early JJ cord-017142-vx3rgs4r 370 13 reduction reduction NN cord-017142-vx3rgs4r 370 14 of of IN cord-017142-vx3rgs4r 370 15 serum serum NN cord-017142-vx3rgs4r 370 16 - - HYPH cord-017142-vx3rgs4r 370 17 free free JJ cord-017142-vx3rgs4r 370 18 light light JJ cord-017142-vx3rgs4r 370 19 chains chain NNS cord-017142-vx3rgs4r 370 20 associates associate NNS cord-017142-vx3rgs4r 370 21 with with IN cord-017142-vx3rgs4r 370 22 renal renal JJ cord-017142-vx3rgs4r 370 23 recovery recovery NN cord-017142-vx3rgs4r 370 24 in in IN cord-017142-vx3rgs4r 370 25 myeloma myeloma NN cord-017142-vx3rgs4r 370 26 kidney kidney NN cord-017142-vx3rgs4r 370 27 Immunosuppression Immunosuppression NNP cord-017142-vx3rgs4r 370 28 and and CC cord-017142-vx3rgs4r 370 29 infection infection NN cord-017142-vx3rgs4r 370 30 in in IN cord-017142-vx3rgs4r 370 31 multiple multiple JJ cord-017142-vx3rgs4r 370 32 myeloma myeloma NN cord-017142-vx3rgs4r 370 33 Discrimination discrimination NN cord-017142-vx3rgs4r 370 34 of of IN cord-017142-vx3rgs4r 370 35 metastatic metastatic NN cord-017142-vx3rgs4r 370 36 from from IN cord-017142-vx3rgs4r 370 37 acute acute JJ cord-017142-vx3rgs4r 370 38 osteoporotic osteoporotic JJ cord-017142-vx3rgs4r 370 39 compression compression NN cord-017142-vx3rgs4r 370 40 spinal spinal JJ cord-017142-vx3rgs4r 370 41 fractures fracture NNS cord-017142-vx3rgs4r 370 42 with with IN cord-017142-vx3rgs4r 370 43 MR MR NNP cord-017142-vx3rgs4r 370 44 imaging image VBG cord-017142-vx3rgs4r 370 45 Diffuse Diffuse NNP cord-017142-vx3rgs4r 370 46 pulmonary pulmonary JJ cord-017142-vx3rgs4r 370 47 parenchymal parenchymal NN cord-017142-vx3rgs4r 370 48 involvement involvement NN cord-017142-vx3rgs4r 370 49 in in IN cord-017142-vx3rgs4r 370 50 multiple multiple JJ cord-017142-vx3rgs4r 370 51 myeloma myeloma NN cord-017142-vx3rgs4r 370 52 : : : cord-017142-vx3rgs4r 371 1 antemortem antemortem NNP cord-017142-vx3rgs4r 371 2 diagnosis diagnosis NN cord-017142-vx3rgs4r 371 3 Nonspecific nonspecific JJ cord-017142-vx3rgs4r 371 4 interstitial interstitial JJ cord-017142-vx3rgs4r 371 5 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 371 6 after after IN cord-017142-vx3rgs4r 371 7 bortezomib bortezomib NNP cord-017142-vx3rgs4r 371 8 and and CC cord-017142-vx3rgs4r 371 9 thalidomide thalidomide NN cord-017142-vx3rgs4r 371 10 treatment treatment NN cord-017142-vx3rgs4r 371 11 in in IN cord-017142-vx3rgs4r 371 12 a a DT cord-017142-vx3rgs4r 371 13 multiple multiple JJ cord-017142-vx3rgs4r 371 14 myeloma myeloma NN cord-017142-vx3rgs4r 371 15 patient patient NN cord-017142-vx3rgs4r 371 16 Multiple multiple JJ cord-017142-vx3rgs4r 371 17 myeloma myeloma NN cord-017142-vx3rgs4r 371 18 with with IN cord-017142-vx3rgs4r 371 19 myelomatous myelomatous JJ cord-017142-vx3rgs4r 371 20 pleural pleural JJ cord-017142-vx3rgs4r 371 21 effusion effusion NN cord-017142-vx3rgs4r 371 22 : : : cord-017142-vx3rgs4r 371 23 a a DT cord-017142-vx3rgs4r 371 24 case case NN cord-017142-vx3rgs4r 371 25 report report NN cord-017142-vx3rgs4r 371 26 and and CC cord-017142-vx3rgs4r 371 27 review review NN cord-017142-vx3rgs4r 371 28 of of IN cord-017142-vx3rgs4r 371 29 the the DT cord-017142-vx3rgs4r 371 30 literature literature NN cord-017142-vx3rgs4r 371 31 Plasmapheresis Plasmapheresis NNP cord-017142-vx3rgs4r 371 32 in in IN cord-017142-vx3rgs4r 371 33 the the DT cord-017142-vx3rgs4r 371 34 treatment treatment NN cord-017142-vx3rgs4r 371 35 of of IN cord-017142-vx3rgs4r 371 36 renal renal JJ cord-017142-vx3rgs4r 371 37 failure failure NN cord-017142-vx3rgs4r 371 38 associated associate VBN cord-017142-vx3rgs4r 371 39 with with IN cord-017142-vx3rgs4r 371 40 multiple multiple JJ cord-017142-vx3rgs4r 371 41 myeloma myeloma NN cord-017142-vx3rgs4r 371 42 Review Review NNP cord-017142-vx3rgs4r 371 43 of of IN cord-017142-vx3rgs4r 371 44 1027 1027 CD cord-017142-vx3rgs4r 371 45 patients patient NNS cord-017142-vx3rgs4r 371 46 with with IN cord-017142-vx3rgs4r 371 47 newly newly RB cord-017142-vx3rgs4r 371 48 diagnosed diagnose VBN cord-017142-vx3rgs4r 371 49 multiple multiple JJ cord-017142-vx3rgs4r 371 50 myeloma myeloma NN cord-017142-vx3rgs4r 372 1 Salmon Salmon NNP cord-017142-vx3rgs4r 372 2 calcitonin calcitonin NN cord-017142-vx3rgs4r 372 3 in in IN cord-017142-vx3rgs4r 372 4 the the DT cord-017142-vx3rgs4r 372 5 acute acute JJ cord-017142-vx3rgs4r 372 6 management management NN cord-017142-vx3rgs4r 372 7 of of IN cord-017142-vx3rgs4r 372 8 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 373 1 Vertebral vertebral JJ cord-017142-vx3rgs4r 373 2 compression compression NN cord-017142-vx3rgs4r 373 3 fractures fracture NNS cord-017142-vx3rgs4r 373 4 in in IN cord-017142-vx3rgs4r 373 5 multiple multiple JJ cord-017142-vx3rgs4r 373 6 myeloma myeloma NN cord-017142-vx3rgs4r 373 7 Distribution distribution NN cord-017142-vx3rgs4r 373 8 and and CC cord-017142-vx3rgs4r 373 9 appearance appearance NN cord-017142-vx3rgs4r 373 10 at at IN cord-017142-vx3rgs4r 373 11 MR MR NNP cord-017142-vx3rgs4r 373 12 imaging image VBG cord-017142-vx3rgs4r 373 13 Low low JJ cord-017142-vx3rgs4r 373 14 - - HYPH cord-017142-vx3rgs4r 373 15 molecular molecular JJ cord-017142-vx3rgs4r 373 16 - - HYPH cord-017142-vx3rgs4r 373 17 weight weight NN cord-017142-vx3rgs4r 373 18 heparin heparin NN cord-017142-vx3rgs4r 373 19 versus versus IN cord-017142-vx3rgs4r 373 20 a a DT cord-017142-vx3rgs4r 373 21 coumarin coumarin NN cord-017142-vx3rgs4r 373 22 for for IN cord-017142-vx3rgs4r 373 23 the the DT cord-017142-vx3rgs4r 373 24 prevention prevention NN cord-017142-vx3rgs4r 373 25 of of IN cord-017142-vx3rgs4r 373 26 recurrent recurrent JJ cord-017142-vx3rgs4r 373 27 venous venous JJ cord-017142-vx3rgs4r 373 28 thromboembolism thromboembolism NN cord-017142-vx3rgs4r 373 29 in in IN cord-017142-vx3rgs4r 373 30 patients patient NNS cord-017142-vx3rgs4r 373 31 with with IN cord-017142-vx3rgs4r 373 32 cancer cancer NN cord-017142-vx3rgs4r 373 33 Narrative narrative NN cord-017142-vx3rgs4r 373 34 review review NN cord-017142-vx3rgs4r 373 35 : : : cord-017142-vx3rgs4r 374 1 furosemide furosemide NN cord-017142-vx3rgs4r 374 2 for for IN cord-017142-vx3rgs4r 374 3 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 374 4 : : : cord-017142-vx3rgs4r 375 1 an an DT cord-017142-vx3rgs4r 375 2 unproven unproven JJ cord-017142-vx3rgs4r 375 3 yet yet CC cord-017142-vx3rgs4r 375 4 common common JJ cord-017142-vx3rgs4r 375 5 practice practice NN cord-017142-vx3rgs4r 375 6 Use use NN cord-017142-vx3rgs4r 375 7 of of IN cord-017142-vx3rgs4r 375 8 abdominal abdominal JJ cord-017142-vx3rgs4r 375 9 fat fat JJ cord-017142-vx3rgs4r 375 10 tissue tissue NN cord-017142-vx3rgs4r 375 11 aspirate aspirate VB cord-017142-vx3rgs4r 375 12 in in IN cord-017142-vx3rgs4r 375 13 the the DT cord-017142-vx3rgs4r 375 14 diagnosis diagnosis NN cord-017142-vx3rgs4r 375 15 of of IN cord-017142-vx3rgs4r 375 16 systemic systemic JJ cord-017142-vx3rgs4r 375 17 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 375 18 Acute acute NN cord-017142-vx3rgs4r 375 19 tubular tubular JJ cord-017142-vx3rgs4r 375 20 necrosis necrosis NN cord-017142-vx3rgs4r 375 21 in in IN cord-017142-vx3rgs4r 375 22 a a DT cord-017142-vx3rgs4r 375 23 patient patient NN cord-017142-vx3rgs4r 375 24 with with IN cord-017142-vx3rgs4r 375 25 myeloma myeloma NN cord-017142-vx3rgs4r 375 26 treated treat VBN cord-017142-vx3rgs4r 375 27 with with IN cord-017142-vx3rgs4r 375 28 carfilzomib carfilzomib NNP cord-017142-vx3rgs4r 375 29 Implantable implantable JJ cord-017142-vx3rgs4r 375 30 cardioverter cardioverter JJ cord-017142-vx3rgs4r 375 31 defibrillators defibrillator NNS cord-017142-vx3rgs4r 375 32 in in IN cord-017142-vx3rgs4r 375 33 patients patient NNS cord-017142-vx3rgs4r 375 34 with with IN cord-017142-vx3rgs4r 375 35 cardiac cardiac JJ cord-017142-vx3rgs4r 375 36 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 376 1 A a DT cord-017142-vx3rgs4r 376 2 2011 2011 CD cord-017142-vx3rgs4r 376 3 updated update VBN cord-017142-vx3rgs4r 376 4 systematic systematic JJ cord-017142-vx3rgs4r 376 5 review review NN cord-017142-vx3rgs4r 376 6 and and CC cord-017142-vx3rgs4r 376 7 clinical clinical JJ cord-017142-vx3rgs4r 376 8 practice practice NN cord-017142-vx3rgs4r 376 9 guideline guideline NN cord-017142-vx3rgs4r 376 10 for for IN cord-017142-vx3rgs4r 376 11 the the DT cord-017142-vx3rgs4r 376 12 management management NN cord-017142-vx3rgs4r 376 13 of of IN cord-017142-vx3rgs4r 376 14 malignant malignant JJ cord-017142-vx3rgs4r 376 15 extradural extradural JJ cord-017142-vx3rgs4r 376 16 spinal spinal JJ cord-017142-vx3rgs4r 376 17 cord cord NN cord-017142-vx3rgs4r 376 18 compression compression NN cord-017142-vx3rgs4r 376 19 Multiple multiple JJ cord-017142-vx3rgs4r 376 20 myeloma myeloma NN cord-017142-vx3rgs4r 376 21 causing cause VBG cord-017142-vx3rgs4r 376 22 interstitial interstitial JJ cord-017142-vx3rgs4r 376 23 pulmonary pulmonary NN cord-017142-vx3rgs4r 376 24 infiltrates infiltrate NNS cord-017142-vx3rgs4r 376 25 and and CC cord-017142-vx3rgs4r 376 26 softtissue softtissue NNP cord-017142-vx3rgs4r 376 27 plasmacytoma plasmacytoma NNP cord-017142-vx3rgs4r 376 28 Myeloma Myeloma NNP cord-017142-vx3rgs4r 376 29 in in IN cord-017142-vx3rgs4r 376 30 patients patient NNS cord-017142-vx3rgs4r 376 31 younger young JJR cord-017142-vx3rgs4r 376 32 than than IN cord-017142-vx3rgs4r 376 33 age age NN cord-017142-vx3rgs4r 376 34 50 50 CD cord-017142-vx3rgs4r 376 35 years year NNS cord-017142-vx3rgs4r 376 36 presents present VBZ cord-017142-vx3rgs4r 376 37 with with IN cord-017142-vx3rgs4r 376 38 more more RBR cord-017142-vx3rgs4r 376 39 favorable favorable JJ cord-017142-vx3rgs4r 376 40 features feature NNS cord-017142-vx3rgs4r 376 41 and and CC cord-017142-vx3rgs4r 376 42 shows show VBZ cord-017142-vx3rgs4r 376 43 better well JJR cord-017142-vx3rgs4r 376 44 survival survival NN cord-017142-vx3rgs4r 376 45 : : : cord-017142-vx3rgs4r 376 46 an an DT cord-017142-vx3rgs4r 376 47 analysis analysis NN cord-017142-vx3rgs4r 376 48 of of IN cord-017142-vx3rgs4r 376 49 10 10 CD cord-017142-vx3rgs4r 376 50 549 549 CD cord-017142-vx3rgs4r 376 51 patients patient NNS cord-017142-vx3rgs4r 376 52 from from IN cord-017142-vx3rgs4r 376 53 the the DT cord-017142-vx3rgs4r 376 54 International International NNP cord-017142-vx3rgs4r 376 55 Myeloma Myeloma NNP cord-017142-vx3rgs4r 376 56 Working Working NNP cord-017142-vx3rgs4r 376 57 Group Group NNP cord-017142-vx3rgs4r 376 58 Central Central NNP cord-017142-vx3rgs4r 376 59 nervous nervous JJ cord-017142-vx3rgs4r 376 60 system system NN cord-017142-vx3rgs4r 376 61 involvement involvement NN cord-017142-vx3rgs4r 376 62 in in IN cord-017142-vx3rgs4r 376 63 multiple multiple JJ cord-017142-vx3rgs4r 376 64 myeloma myeloma NN cord-017142-vx3rgs4r 376 65 patients patient NNS cord-017142-vx3rgs4r 376 66 in in IN cord-017142-vx3rgs4r 376 67 the the DT cord-017142-vx3rgs4r 376 68 era era NN cord-017142-vx3rgs4r 376 69 of of IN cord-017142-vx3rgs4r 376 70 novel novel JJ cord-017142-vx3rgs4r 376 71 therapies therapy NNS cord-017142-vx3rgs4r 376 72 ( ( -LRB- cord-017142-vx3rgs4r 376 73 P07.005 p07.005 NN cord-017142-vx3rgs4r 376 74 ) ) -RRB- cord-017142-vx3rgs4r 377 1 Zoledronic Zoledronic NNP cord-017142-vx3rgs4r 377 2 acid acid NN cord-017142-vx3rgs4r 377 3 is be VBZ cord-017142-vx3rgs4r 377 4 superior superior JJ cord-017142-vx3rgs4r 377 5 to to TO cord-017142-vx3rgs4r 377 6 pamidronate pamidronate VB cord-017142-vx3rgs4r 377 7 in in IN cord-017142-vx3rgs4r 377 8 the the DT cord-017142-vx3rgs4r 377 9 treatment treatment NN cord-017142-vx3rgs4r 377 10 of of IN cord-017142-vx3rgs4r 377 11 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 377 12 of of IN cord-017142-vx3rgs4r 377 13 malignancy malignancy NN cord-017142-vx3rgs4r 377 14 : : : cord-017142-vx3rgs4r 378 1 a a DT cord-017142-vx3rgs4r 378 2 pooled pool VBN cord-017142-vx3rgs4r 378 3 analysis analysis NN cord-017142-vx3rgs4r 378 4 of of IN cord-017142-vx3rgs4r 378 5 two two CD cord-017142-vx3rgs4r 378 6 randomized randomized JJ cord-017142-vx3rgs4r 378 7 , , , cord-017142-vx3rgs4r 378 8 controlled control VBN cord-017142-vx3rgs4r 378 9 clinical clinical JJ cord-017142-vx3rgs4r 378 10 trials trial NNS cord-017142-vx3rgs4r 378 11 Effectiveness Effectiveness NNP cord-017142-vx3rgs4r 378 12 of of IN cord-017142-vx3rgs4r 378 13 radiation radiation NN cord-017142-vx3rgs4r 378 14 therapy therapy NN cord-017142-vx3rgs4r 378 15 without without IN cord-017142-vx3rgs4r 378 16 surgery surgery NN cord-017142-vx3rgs4r 378 17 in in IN cord-017142-vx3rgs4r 378 18 metastatic metastatic JJ cord-017142-vx3rgs4r 378 19 spinal spinal JJ cord-017142-vx3rgs4r 378 20 cord cord NN cord-017142-vx3rgs4r 378 21 compression compression NN cord-017142-vx3rgs4r 378 22 : : : cord-017142-vx3rgs4r 378 23 final final JJ cord-017142-vx3rgs4r 378 24 results result NNS cord-017142-vx3rgs4r 378 25 from from IN cord-017142-vx3rgs4r 378 26 a a DT cord-017142-vx3rgs4r 378 27 prospective prospective JJ cord-017142-vx3rgs4r 378 28 trial trial NN cord-017142-vx3rgs4r 378 29 Multiple multiple JJ cord-017142-vx3rgs4r 378 30 myeloma myeloma NN cord-017142-vx3rgs4r 378 31 invasion invasion NN cord-017142-vx3rgs4r 378 32 of of IN cord-017142-vx3rgs4r 378 33 the the DT cord-017142-vx3rgs4r 378 34 central central JJ cord-017142-vx3rgs4r 378 35 nervous nervous JJ cord-017142-vx3rgs4r 378 36 system system NN cord-017142-vx3rgs4r 378 37 Proliferative Proliferative NNP cord-017142-vx3rgs4r 378 38 activity activity NN cord-017142-vx3rgs4r 378 39 of of IN cord-017142-vx3rgs4r 378 40 myeloma myeloma NN cord-017142-vx3rgs4r 378 41 cells cell NNS cord-017142-vx3rgs4r 378 42 determined determine VBN cord-017142-vx3rgs4r 378 43 by by IN cord-017142-vx3rgs4r 378 44 Ki-67 Ki-67 NNP cord-017142-vx3rgs4r 378 45 antibody antibody NN cord-017142-vx3rgs4r 378 46 : : : cord-017142-vx3rgs4r 378 47 biological biological JJ cord-017142-vx3rgs4r 378 48 and and CC cord-017142-vx3rgs4r 378 49 clinical clinical JJ cord-017142-vx3rgs4r 378 50 significance significance NN cord-017142-vx3rgs4r 379 1 Acute acute JJ cord-017142-vx3rgs4r 379 2 respiratory respiratory JJ cord-017142-vx3rgs4r 379 3 distress distress NN cord-017142-vx3rgs4r 379 4 syndrome syndrome NN cord-017142-vx3rgs4r 379 5 due due IN cord-017142-vx3rgs4r 379 6 to to IN cord-017142-vx3rgs4r 379 7 pulmonary pulmonary JJ cord-017142-vx3rgs4r 379 8 involvement involvement NN cord-017142-vx3rgs4r 379 9 by by IN cord-017142-vx3rgs4r 379 10 neoplastic neoplastic JJ cord-017142-vx3rgs4r 379 11 plasma plasma NN cord-017142-vx3rgs4r 379 12 cells cell NNS cord-017142-vx3rgs4r 379 13 in in IN cord-017142-vx3rgs4r 379 14 multiple multiple JJ cord-017142-vx3rgs4r 379 15 myeloma myeloma NN cord-017142-vx3rgs4r 379 16 Hyperviscosity Hyperviscosity NNP cord-017142-vx3rgs4r 379 17 syndrome syndrome NN cord-017142-vx3rgs4r 379 18 in in IN cord-017142-vx3rgs4r 379 19 plasma plasma NN cord-017142-vx3rgs4r 379 20 cell cell NN cord-017142-vx3rgs4r 379 21 dyscrasias dyscrasias NNP cord-017142-vx3rgs4r 379 22 Acute acute JJ cord-017142-vx3rgs4r 379 23 pancreatitis pancreatitis NN cord-017142-vx3rgs4r 379 24 secondary secondary JJ cord-017142-vx3rgs4r 379 25 to to IN cord-017142-vx3rgs4r 379 26 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 379 27 of of IN cord-017142-vx3rgs4r 379 28 multiple multiple JJ cord-017142-vx3rgs4r 379 29 myeloma myeloma NN cord-017142-vx3rgs4r 379 30 Effect effect NN cord-017142-vx3rgs4r 379 31 of of IN cord-017142-vx3rgs4r 379 32 plasmapheresis plasmapheresis NN cord-017142-vx3rgs4r 379 33 on on IN cord-017142-vx3rgs4r 379 34 hyperviscosity hyperviscosity NN cord-017142-vx3rgs4r 379 35 - - HYPH cord-017142-vx3rgs4r 379 36 related relate VBN cord-017142-vx3rgs4r 379 37 retinopathy retinopathy NN cord-017142-vx3rgs4r 379 38 and and CC cord-017142-vx3rgs4r 379 39 retinal retinal JJ cord-017142-vx3rgs4r 379 40 hemodynamics hemodynamic NNS cord-017142-vx3rgs4r 379 41 in in IN cord-017142-vx3rgs4r 379 42 patients patient NNS cord-017142-vx3rgs4r 379 43 with with IN cord-017142-vx3rgs4r 379 44 Waldenstrom Waldenstrom NNP cord-017142-vx3rgs4r 379 45 's 's POS cord-017142-vx3rgs4r 379 46 macroglobulinemia macroglobulinemia JJ cord-017142-vx3rgs4r 379 47 Cardiac Cardiac NNP cord-017142-vx3rgs4r 379 48 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 379 49 and and CC cord-017142-vx3rgs4r 379 50 its -PRON- PRP$ cord-017142-vx3rgs4r 379 51 new new JJ cord-017142-vx3rgs4r 379 52 clinical clinical JJ cord-017142-vx3rgs4r 379 53 phenotype phenotype NN cord-017142-vx3rgs4r 379 54 : : : cord-017142-vx3rgs4r 379 55 heart heart NN cord-017142-vx3rgs4r 379 56 failure failure NN cord-017142-vx3rgs4r 379 57 with with IN cord-017142-vx3rgs4r 379 58 preserved preserve VBN cord-017142-vx3rgs4r 379 59 ejection ejection NN cord-017142-vx3rgs4r 379 60 fraction fraction NN cord-017142-vx3rgs4r 379 61 Corticosteroids Corticosteroids NNPS cord-017142-vx3rgs4r 379 62 as as IN cord-017142-vx3rgs4r 379 63 adjunctive adjunctive JJ cord-017142-vx3rgs4r 379 64 therapy therapy NN cord-017142-vx3rgs4r 379 65 for for IN cord-017142-vx3rgs4r 379 66 diffuse diffuse JJ cord-017142-vx3rgs4r 379 67 alveolar alveolar JJ cord-017142-vx3rgs4r 379 68 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 379 69 associated associate VBN cord-017142-vx3rgs4r 379 70 with with IN cord-017142-vx3rgs4r 379 71 bone bone NN cord-017142-vx3rgs4r 379 72 marrow marrow NN cord-017142-vx3rgs4r 379 73 transplantation transplantation NN cord-017142-vx3rgs4r 379 74 Acute acute JJ cord-017142-vx3rgs4r 379 75 tachypnea tachypnea NN cord-017142-vx3rgs4r 379 76 during during IN cord-017142-vx3rgs4r 379 77 mechanical mechanical JJ cord-017142-vx3rgs4r 379 78 ventilation ventilation NN cord-017142-vx3rgs4r 379 79 in in IN cord-017142-vx3rgs4r 379 80 a a DT cord-017142-vx3rgs4r 379 81 62-year 62-year JJ cord-017142-vx3rgs4r 379 82 - - HYPH cord-017142-vx3rgs4r 379 83 old old JJ cord-017142-vx3rgs4r 379 84 man man NN cord-017142-vx3rgs4r 379 85 with with IN cord-017142-vx3rgs4r 379 86 multiple multiple JJ cord-017142-vx3rgs4r 379 87 myeloma myeloma NN cord-017142-vx3rgs4r 379 88 involving involve VBG cord-017142-vx3rgs4r 379 89 the the DT cord-017142-vx3rgs4r 379 90 spinal spinal JJ cord-017142-vx3rgs4r 379 91 cord cord NN cord-017142-vx3rgs4r 379 92 Optimizing optimize VBG cord-017142-vx3rgs4r 379 93 the the DT cord-017142-vx3rgs4r 379 94 management management NN cord-017142-vx3rgs4r 379 95 of of IN cord-017142-vx3rgs4r 379 96 patients patient NNS cord-017142-vx3rgs4r 379 97 with with IN cord-017142-vx3rgs4r 379 98 spinal spinal JJ cord-017142-vx3rgs4r 379 99 myeloma myeloma NN cord-017142-vx3rgs4r 379 100 disease disease NN cord-017142-vx3rgs4r 379 101 Risk risk NN cord-017142-vx3rgs4r 379 102 factors factor NNS cord-017142-vx3rgs4r 379 103 for for IN cord-017142-vx3rgs4r 379 104 early early JJ cord-017142-vx3rgs4r 379 105 death death NN cord-017142-vx3rgs4r 379 106 in in IN cord-017142-vx3rgs4r 379 107 patients patient NNS cord-017142-vx3rgs4r 379 108 undergoing undergo VBG cord-017142-vx3rgs4r 379 109 treatment treatment NN cord-017142-vx3rgs4r 379 110 for for IN cord-017142-vx3rgs4r 379 111 multiple multiple JJ cord-017142-vx3rgs4r 379 112 myeloma myeloma NN cord-017142-vx3rgs4r 380 1 Prophylactic prophylactic JJ cord-017142-vx3rgs4r 380 2 low low JJ cord-017142-vx3rgs4r 380 3 - - HYPH cord-017142-vx3rgs4r 380 4 dose dose NN cord-017142-vx3rgs4r 380 5 aspirin aspirin NN cord-017142-vx3rgs4r 380 6 is be VBZ cord-017142-vx3rgs4r 380 7 effective effective JJ cord-017142-vx3rgs4r 380 8 antithrombotic antithrombotic JJ cord-017142-vx3rgs4r 380 9 therapy therapy NN cord-017142-vx3rgs4r 380 10 for for IN cord-017142-vx3rgs4r 380 11 combination combination NN cord-017142-vx3rgs4r 380 12 treatments treatment NNS cord-017142-vx3rgs4r 380 13 of of IN cord-017142-vx3rgs4r 380 14 thalidomide thalidomide NN cord-017142-vx3rgs4r 380 15 or or CC cord-017142-vx3rgs4r 380 16 lenalidomide lenalidomide NN cord-017142-vx3rgs4r 380 17 in in IN cord-017142-vx3rgs4r 380 18 myeloma myeloma NN cord-017142-vx3rgs4r 381 1 Is be VBZ cord-017142-vx3rgs4r 381 2 elevated elevate VBN cord-017142-vx3rgs4r 381 3 plasma plasma NN cord-017142-vx3rgs4r 381 4 B b NN cord-017142-vx3rgs4r 381 5 - - HYPH cord-017142-vx3rgs4r 381 6 natriuretic natriuretic NN cord-017142-vx3rgs4r 381 7 peptide peptide NN cord-017142-vx3rgs4r 381 8 in in IN cord-017142-vx3rgs4r 381 9 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 381 10 simply simply RB cord-017142-vx3rgs4r 381 11 a a DT cord-017142-vx3rgs4r 381 12 function function NN cord-017142-vx3rgs4r 381 13 of of IN cord-017142-vx3rgs4r 381 14 the the DT cord-017142-vx3rgs4r 381 15 presence presence NN cord-017142-vx3rgs4r 381 16 of of IN cord-017142-vx3rgs4r 381 17 heart heart NN cord-017142-vx3rgs4r 381 18 failure failure NN cord-017142-vx3rgs4r 381 19 ? ? . cord-017142-vx3rgs4r 382 1 Infections infection NNS cord-017142-vx3rgs4r 382 2 in in IN cord-017142-vx3rgs4r 382 3 patients patient NNS cord-017142-vx3rgs4r 382 4 with with IN cord-017142-vx3rgs4r 382 5 multiple multiple JJ cord-017142-vx3rgs4r 382 6 myeloma myeloma NN cord-017142-vx3rgs4r 382 7 in in IN cord-017142-vx3rgs4r 382 8 the the DT cord-017142-vx3rgs4r 382 9 era era NN cord-017142-vx3rgs4r 382 10 of of IN cord-017142-vx3rgs4r 382 11 high high JJ cord-017142-vx3rgs4r 382 12 - - HYPH cord-017142-vx3rgs4r 382 13 dose dose NN cord-017142-vx3rgs4r 382 14 therapy therapy NN cord-017142-vx3rgs4r 382 15 and and CC cord-017142-vx3rgs4r 382 16 novel novel NN cord-017142-vx3rgs4r 382 17 agents agent NNS cord-017142-vx3rgs4r 382 18 Unexpected unexpected JJ cord-017142-vx3rgs4r 382 19 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 382 20 in in IN cord-017142-vx3rgs4r 382 21 haematological haematological NNP cord-017142-vx3rgs4r 382 22 bortezomib bortezomib NNP cord-017142-vx3rgs4r 382 23 treated treat VBD cord-017142-vx3rgs4r 382 24 patients patient NNS cord-017142-vx3rgs4r 382 25 Phase Phase NNP cord-017142-vx3rgs4r 383 1 I -PRON- PRP cord-017142-vx3rgs4r 383 2 trial trial NN cord-017142-vx3rgs4r 383 3 of of IN cord-017142-vx3rgs4r 383 4 the the DT cord-017142-vx3rgs4r 383 5 proteasome proteasome VBN cord-017142-vx3rgs4r 383 6 inhibitor inhibitor NN cord-017142-vx3rgs4r 383 7 bortezomib bortezomib NN cord-017142-vx3rgs4r 383 8 in in IN cord-017142-vx3rgs4r 383 9 patients patient NNS cord-017142-vx3rgs4r 383 10 with with IN cord-017142-vx3rgs4r 383 11 advanced advanced JJ cord-017142-vx3rgs4r 383 12 solid solid JJ cord-017142-vx3rgs4r 383 13 tumors tumor NNS cord-017142-vx3rgs4r 383 14 with with IN cord-017142-vx3rgs4r 383 15 observations observation NNS cord-017142-vx3rgs4r 383 16 in in IN cord-017142-vx3rgs4r 383 17 androgenindependent androgenindependent NN cord-017142-vx3rgs4r 383 18 prostate prostate NN cord-017142-vx3rgs4r 383 19 cancer cancer NN cord-017142-vx3rgs4r 383 20 Cerebral Cerebral NNP cord-017142-vx3rgs4r 383 21 infarction infarction NN cord-017142-vx3rgs4r 383 22 in in IN cord-017142-vx3rgs4r 383 23 IgG IgG NNP cord-017142-vx3rgs4r 383 24 multiple multiple JJ cord-017142-vx3rgs4r 383 25 myeloma myeloma NN cord-017142-vx3rgs4r 383 26 with with IN cord-017142-vx3rgs4r 383 27 hyperviscosity hyperviscosity NNP cord-017142-vx3rgs4r 383 28 Meningeal Meningeal NNP cord-017142-vx3rgs4r 383 29 and and CC cord-017142-vx3rgs4r 383 30 cerebral cerebral JJ cord-017142-vx3rgs4r 383 31 involvement involvement NN cord-017142-vx3rgs4r 383 32 in in IN cord-017142-vx3rgs4r 383 33 multiple multiple JJ cord-017142-vx3rgs4r 383 34 myeloma myeloma NN cord-017142-vx3rgs4r 383 35 patients patient NNS cord-017142-vx3rgs4r 384 1 Randomized randomized JJ cord-017142-vx3rgs4r 384 2 phase phase NN cord-017142-vx3rgs4r 384 3 II II NNP cord-017142-vx3rgs4r 384 4 trial trial NN cord-017142-vx3rgs4r 384 5 comparing compare VBG cord-017142-vx3rgs4r 384 6 different different JJ cord-017142-vx3rgs4r 384 7 doses dose NNS cord-017142-vx3rgs4r 384 8 of of IN cord-017142-vx3rgs4r 384 9 the the DT cord-017142-vx3rgs4r 384 10 bisphosphonate bisphosphonate NNP cord-017142-vx3rgs4r 384 11 ibandronate ibandronate NNP cord-017142-vx3rgs4r 384 12 in in IN cord-017142-vx3rgs4r 384 13 the the DT cord-017142-vx3rgs4r 384 14 treatment treatment NN cord-017142-vx3rgs4r 384 15 of of IN cord-017142-vx3rgs4r 384 16 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 384 17 of of IN cord-017142-vx3rgs4r 384 18 malignancy malignancy NN cord-017142-vx3rgs4r 384 19 Efficacy Efficacy NNP cord-017142-vx3rgs4r 384 20 and and CC cord-017142-vx3rgs4r 384 21 safety safety NN cord-017142-vx3rgs4r 384 22 of of IN cord-017142-vx3rgs4r 384 23 ibandronate ibandronate NN cord-017142-vx3rgs4r 384 24 in in IN cord-017142-vx3rgs4r 384 25 the the DT cord-017142-vx3rgs4r 384 26 treatment treatment NN cord-017142-vx3rgs4r 384 27 of of IN cord-017142-vx3rgs4r 384 28 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 384 29 of of IN cord-017142-vx3rgs4r 384 30 malignancy malignancy NN cord-017142-vx3rgs4r 384 31 : : : cord-017142-vx3rgs4r 384 32 a a DT cord-017142-vx3rgs4r 384 33 randomized randomized JJ cord-017142-vx3rgs4r 384 34 multicentric multicentric JJ cord-017142-vx3rgs4r 384 35 comparison comparison NN cord-017142-vx3rgs4r 384 36 to to TO cord-017142-vx3rgs4r 384 37 pamidronate pamidronate VB cord-017142-vx3rgs4r 384 38 Continued continued JJ cord-017142-vx3rgs4r 384 39 survival survival NN cord-017142-vx3rgs4r 384 40 gains gain NNS cord-017142-vx3rgs4r 384 41 in in IN cord-017142-vx3rgs4r 384 42 recent recent JJ cord-017142-vx3rgs4r 384 43 years year NNS cord-017142-vx3rgs4r 384 44 among among IN cord-017142-vx3rgs4r 384 45 critically critically RB cord-017142-vx3rgs4r 384 46 ill ill JJ cord-017142-vx3rgs4r 384 47 myeloma myeloma NN cord-017142-vx3rgs4r 384 48 patients patient NNS cord-017142-vx3rgs4r 385 1 Acute acute JJ cord-017142-vx3rgs4r 385 2 respiratory respiratory JJ cord-017142-vx3rgs4r 385 3 distress distress NN cord-017142-vx3rgs4r 385 4 syndrome syndrome NN cord-017142-vx3rgs4r 385 5 with with IN cord-017142-vx3rgs4r 385 6 pulmonary pulmonary JJ cord-017142-vx3rgs4r 385 7 calcification calcification NN cord-017142-vx3rgs4r 385 8 in in IN cord-017142-vx3rgs4r 385 9 two two CD cord-017142-vx3rgs4r 385 10 patients patient NNS cord-017142-vx3rgs4r 385 11 with with IN cord-017142-vx3rgs4r 385 12 B b NN cord-017142-vx3rgs4r 385 13 cell cell NN cord-017142-vx3rgs4r 385 14 malignancies malignancy NNS cord-017142-vx3rgs4r 385 15 Immunodeficiency immunodeficiency NN cord-017142-vx3rgs4r 385 16 and and CC cord-017142-vx3rgs4r 385 17 immunotherapy immunotherapy NN cord-017142-vx3rgs4r 385 18 in in IN cord-017142-vx3rgs4r 385 19 multiple multiple JJ cord-017142-vx3rgs4r 385 20 myeloma myeloma NN cord-017142-vx3rgs4r 386 1 Is be VBZ cord-017142-vx3rgs4r 386 2 surgery surgery NN cord-017142-vx3rgs4r 386 3 required require VBN cord-017142-vx3rgs4r 386 4 in in IN cord-017142-vx3rgs4r 386 5 the the DT cord-017142-vx3rgs4r 386 6 management management NN cord-017142-vx3rgs4r 386 7 of of IN cord-017142-vx3rgs4r 386 8 spinal spinal JJ cord-017142-vx3rgs4r 386 9 cord cord NN cord-017142-vx3rgs4r 386 10 compression compression NN cord-017142-vx3rgs4r 386 11 in in IN cord-017142-vx3rgs4r 386 12 myeloma myeloma NN cord-017142-vx3rgs4r 386 13 patients patient NNS cord-017142-vx3rgs4r 386 14 ? ? . cord-017142-vx3rgs4r 387 1 Carfilzomib Carfilzomib NNP cord-017142-vx3rgs4r 387 2 : : : cord-017142-vx3rgs4r 388 1 a a DT cord-017142-vx3rgs4r 388 2 cause cause NN cord-017142-vx3rgs4r 388 3 of of IN cord-017142-vx3rgs4r 388 4 drug drug NN cord-017142-vx3rgs4r 388 5 induced induce VBN cord-017142-vx3rgs4r 388 6 thrombotic thrombotic JJ cord-017142-vx3rgs4r 388 7 microangiopathy microangiopathy NNP cord-017142-vx3rgs4r 388 8 Final final JJ cord-017142-vx3rgs4r 388 9 results result NNS cord-017142-vx3rgs4r 388 10 of of IN cord-017142-vx3rgs4r 388 11 a a DT cord-017142-vx3rgs4r 388 12 prospective prospective JJ cord-017142-vx3rgs4r 388 13 study study NN cord-017142-vx3rgs4r 388 14 of of IN cord-017142-vx3rgs4r 388 15 the the DT cord-017142-vx3rgs4r 388 16 prognostic prognostic JJ cord-017142-vx3rgs4r 388 17 value value NN cord-017142-vx3rgs4r 388 18 of of IN cord-017142-vx3rgs4r 388 19 the the DT cord-017142-vx3rgs4r 388 20 time time NN cord-017142-vx3rgs4r 388 21 to to TO cord-017142-vx3rgs4r 388 22 develop develop VB cord-017142-vx3rgs4r 388 23 motor motor NN cord-017142-vx3rgs4r 388 24 deficits deficit NNS cord-017142-vx3rgs4r 388 25 before before IN cord-017142-vx3rgs4r 388 26 irradiation irradiation NN cord-017142-vx3rgs4r 388 27 in in IN cord-017142-vx3rgs4r 388 28 metastatic metastatic JJ cord-017142-vx3rgs4r 388 29 spinal spinal JJ cord-017142-vx3rgs4r 388 30 cord cord NN cord-017142-vx3rgs4r 388 31 compression compression NN cord-017142-vx3rgs4r 388 32 Outcome outcome NN cord-017142-vx3rgs4r 388 33 after after IN cord-017142-vx3rgs4r 388 34 radiotherapy radiotherapy NN cord-017142-vx3rgs4r 388 35 alone alone RB cord-017142-vx3rgs4r 388 36 for for IN cord-017142-vx3rgs4r 388 37 metastatic metastatic JJ cord-017142-vx3rgs4r 388 38 spinal spinal JJ cord-017142-vx3rgs4r 388 39 cord cord NN cord-017142-vx3rgs4r 388 40 compression compression NN cord-017142-vx3rgs4r 388 41 in in IN cord-017142-vx3rgs4r 388 42 patients patient NNS cord-017142-vx3rgs4r 388 43 with with IN cord-017142-vx3rgs4r 388 44 oligometastases oligometastase NNS cord-017142-vx3rgs4r 389 1 Low- low- NN cord-017142-vx3rgs4r 389 2 , , , cord-017142-vx3rgs4r 389 3 medium medium NN cord-017142-vx3rgs4r 389 4 - - HYPH cord-017142-vx3rgs4r 389 5 and and CC cord-017142-vx3rgs4r 389 6 highdose highdose NN cord-017142-vx3rgs4r 389 7 steroids steroid NNS cord-017142-vx3rgs4r 389 8 with with IN cord-017142-vx3rgs4r 389 9 or or CC cord-017142-vx3rgs4r 389 10 without without IN cord-017142-vx3rgs4r 389 11 aminocaproic aminocaproic NN cord-017142-vx3rgs4r 389 12 acid acid NN cord-017142-vx3rgs4r 389 13 in in IN cord-017142-vx3rgs4r 389 14 adult adult NN cord-017142-vx3rgs4r 389 15 hematopoietic hematopoietic JJ cord-017142-vx3rgs4r 389 16 SCT SCT NNP cord-017142-vx3rgs4r 389 17 patients patient NNS cord-017142-vx3rgs4r 389 18 with with IN cord-017142-vx3rgs4r 389 19 diffuse diffuse JJ cord-017142-vx3rgs4r 389 20 alveolar alveolar NN cord-017142-vx3rgs4r 389 21 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 389 22 Lung lung NN cord-017142-vx3rgs4r 389 23 postmortem postmortem NN cord-017142-vx3rgs4r 389 24 autopsy autopsy JJ cord-017142-vx3rgs4r 389 25 revealing reveal VBG cord-017142-vx3rgs4r 389 26 extramedullary extramedullary JJ cord-017142-vx3rgs4r 389 27 involvement involvement NN cord-017142-vx3rgs4r 389 28 in in IN cord-017142-vx3rgs4r 389 29 multiple multiple JJ cord-017142-vx3rgs4r 389 30 myeloma myeloma NN cord-017142-vx3rgs4r 389 31 causing cause VBG cord-017142-vx3rgs4r 389 32 acute acute JJ cord-017142-vx3rgs4r 389 33 respiratory respiratory JJ cord-017142-vx3rgs4r 389 34 distress distress NN cord-017142-vx3rgs4r 389 35 syndrome syndrome NN cord-017142-vx3rgs4r 389 36 Digoxin digoxin JJ cord-017142-vx3rgs4r 389 37 sensitivity sensitivity NN cord-017142-vx3rgs4r 389 38 in in IN cord-017142-vx3rgs4r 389 39 amyloid amyloid NN cord-017142-vx3rgs4r 389 40 cardiomyopathy cardiomyopathy NN cord-017142-vx3rgs4r 389 41 O039 O039 NNP cord-017142-vx3rgs4r 389 42 Dialysis Dialysis NNP cord-017142-vx3rgs4r 389 43 with with IN cord-017142-vx3rgs4r 389 44 HCO HCO NNP cord-017142-vx3rgs4r 389 45 membrane membrane NN cord-017142-vx3rgs4r 389 46 in in IN cord-017142-vx3rgs4r 389 47 combination combination NN cord-017142-vx3rgs4r 389 48 with with IN cord-017142-vx3rgs4r 389 49 potent potent JJ cord-017142-vx3rgs4r 389 50 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 389 51 increases increase VBZ cord-017142-vx3rgs4r 389 52 the the DT cord-017142-vx3rgs4r 389 53 probability probability NN cord-017142-vx3rgs4r 389 54 for for IN cord-017142-vx3rgs4r 389 55 renal renal JJ cord-017142-vx3rgs4r 389 56 recovery recovery NN cord-017142-vx3rgs4r 389 57 and and CC cord-017142-vx3rgs4r 389 58 better well JJR cord-017142-vx3rgs4r 389 59 survival survival NN cord-017142-vx3rgs4r 389 60 in in IN cord-017142-vx3rgs4r 389 61 patients patient NNS cord-017142-vx3rgs4r 389 62 with with IN cord-017142-vx3rgs4r 389 63 acute acute JJ cord-017142-vx3rgs4r 389 64 renal renal JJ cord-017142-vx3rgs4r 389 65 failure failure NN cord-017142-vx3rgs4r 389 66 due due IN cord-017142-vx3rgs4r 389 67 to to IN cord-017142-vx3rgs4r 389 68 myeloma myeloma NN cord-017142-vx3rgs4r 389 69 kidney kidney NN cord-017142-vx3rgs4r 389 70 - - HYPH cord-017142-vx3rgs4r 389 71 data datum NNS cord-017142-vx3rgs4r 389 72 from from IN cord-017142-vx3rgs4r 389 73 Biphasic Biphasic NNP cord-017142-vx3rgs4r 389 74 pattern pattern NN cord-017142-vx3rgs4r 389 75 of of IN cord-017142-vx3rgs4r 389 76 bacterial bacterial JJ cord-017142-vx3rgs4r 389 77 infection infection NN cord-017142-vx3rgs4r 389 78 in in IN cord-017142-vx3rgs4r 389 79 multiple multiple JJ cord-017142-vx3rgs4r 389 80 myeloma myeloma NN cord-017142-vx3rgs4r 389 81 Guidelines guideline NNS cord-017142-vx3rgs4r 389 82 on on IN cord-017142-vx3rgs4r 389 83 the the DT cord-017142-vx3rgs4r 389 84 use use NN cord-017142-vx3rgs4r 389 85 of of IN cord-017142-vx3rgs4r 389 86 therapeutic therapeutic JJ cord-017142-vx3rgs4r 389 87 apheresis apheresis NN cord-017142-vx3rgs4r 389 88 in in IN cord-017142-vx3rgs4r 389 89 clinical clinical JJ cord-017142-vx3rgs4r 389 90 practiceevidence practiceevidence NN cord-017142-vx3rgs4r 389 91 - - HYPH cord-017142-vx3rgs4r 389 92 based base VBN cord-017142-vx3rgs4r 389 93 approach approach NN cord-017142-vx3rgs4r 389 94 from from IN cord-017142-vx3rgs4r 389 95 the the DT cord-017142-vx3rgs4r 389 96 Writing Writing NNP cord-017142-vx3rgs4r 389 97 Committee Committee NNP cord-017142-vx3rgs4r 389 98 of of IN cord-017142-vx3rgs4r 389 99 the the DT cord-017142-vx3rgs4r 389 100 American American NNP cord-017142-vx3rgs4r 389 101 Society Society NNP cord-017142-vx3rgs4r 389 102 for for IN cord-017142-vx3rgs4r 389 103 Apheresis Apheresis NNP cord-017142-vx3rgs4r 389 104 : : : cord-017142-vx3rgs4r 390 1 the the DT cord-017142-vx3rgs4r 390 2 seventh seventh JJ cord-017142-vx3rgs4r 390 3 special special JJ cord-017142-vx3rgs4r 390 4 issue issue NN cord-017142-vx3rgs4r 390 5 Combination combination NN cord-017142-vx3rgs4r 390 6 of of IN cord-017142-vx3rgs4r 390 7 calcitonin calcitonin NN cord-017142-vx3rgs4r 390 8 and and CC cord-017142-vx3rgs4r 390 9 pamidronate pamidronate NN cord-017142-vx3rgs4r 390 10 for for IN cord-017142-vx3rgs4r 390 11 emergency emergency NN cord-017142-vx3rgs4r 390 12 treatment treatment NN cord-017142-vx3rgs4r 390 13 of of IN cord-017142-vx3rgs4r 390 14 malignant malignant JJ cord-017142-vx3rgs4r 390 15 hypercalcemia hypercalcemia NN cord-017142-vx3rgs4r 390 16 Evaluation Evaluation NNP cord-017142-vx3rgs4r 390 17 and and CC cord-017142-vx3rgs4r 390 18 management management NN cord-017142-vx3rgs4r 390 19 of of IN cord-017142-vx3rgs4r 390 20 the the DT cord-017142-vx3rgs4r 390 21 cardiac cardiac JJ cord-017142-vx3rgs4r 390 22 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 391 1 Lenalidomide Lenalidomide NNP cord-017142-vx3rgs4r 391 2 induced induce VBD cord-017142-vx3rgs4r 391 3 interstitial interstitial JJ cord-017142-vx3rgs4r 391 4 lung lung NN cord-017142-vx3rgs4r 391 5 disease disease NN cord-017142-vx3rgs4r 391 6 . . . cord-017142-vx3rgs4r 392 1 Drug drug NN cord-017142-vx3rgs4r 392 2 induced induce VBN cord-017142-vx3rgs4r 392 3 lung lung NN cord-017142-vx3rgs4r 392 4 disease disease NN cord-017142-vx3rgs4r 393 1 : : : cord-017142-vx3rgs4r 393 2 case case NN cord-017142-vx3rgs4r 393 3 reports report NNS cord-017142-vx3rgs4r 393 4 Changing change VBG cord-017142-vx3rgs4r 393 5 patterns pattern NNS cord-017142-vx3rgs4r 393 6 of of IN cord-017142-vx3rgs4r 393 7 infections infection NNS cord-017142-vx3rgs4r 393 8 in in IN cord-017142-vx3rgs4r 393 9 patients patient NNS cord-017142-vx3rgs4r 393 10 with with IN cord-017142-vx3rgs4r 393 11 multiple multiple JJ cord-017142-vx3rgs4r 393 12 myeloma myeloma NN cord-017142-vx3rgs4r 393 13 Autoimmune autoimmune JJ cord-017142-vx3rgs4r 393 14 manifestations manifestation NNS cord-017142-vx3rgs4r 393 15 in in IN cord-017142-vx3rgs4r 393 16 patients patient NNS cord-017142-vx3rgs4r 393 17 with with IN cord-017142-vx3rgs4r 393 18 multiple multiple JJ cord-017142-vx3rgs4r 393 19 myeloma myeloma NN cord-017142-vx3rgs4r 393 20 and and CC cord-017142-vx3rgs4r 393 21 monoclonal monoclonal JJ cord-017142-vx3rgs4r 393 22 gammopathy gammopathy NN cord-017142-vx3rgs4r 393 23 of of IN cord-017142-vx3rgs4r 393 24 undetermined undetermined JJ cord-017142-vx3rgs4r 393 25 significance significance NN cord-017142-vx3rgs4r 393 26 Serum serum NN cord-017142-vx3rgs4r 393 27 free free JJ cord-017142-vx3rgs4r 393 28 light light JJ cord-017142-vx3rgs4r 393 29 chain chain NN cord-017142-vx3rgs4r 393 30 analysis analysis NN cord-017142-vx3rgs4r 393 31 for for IN cord-017142-vx3rgs4r 393 32 diagnosis diagnosis NN cord-017142-vx3rgs4r 393 33 , , , cord-017142-vx3rgs4r 393 34 monitoring monitoring NN cord-017142-vx3rgs4r 393 35 , , , cord-017142-vx3rgs4r 393 36 and and CC cord-017142-vx3rgs4r 393 37 prognosis prognosis NN cord-017142-vx3rgs4r 393 38 of of IN cord-017142-vx3rgs4r 393 39 monoclonal monoclonal JJ cord-017142-vx3rgs4r 393 40 gammopathies gammopathy NNS cord-017142-vx3rgs4r 394 1 Leptomeningeal Leptomeningeal NNP cord-017142-vx3rgs4r 394 2 myeloma myeloma NN cord-017142-vx3rgs4r 395 1 Pulmonary pulmonary JJ cord-017142-vx3rgs4r 395 2 complications complication NNS cord-017142-vx3rgs4r 395 3 of of IN cord-017142-vx3rgs4r 395 4 bone bone NN cord-017142-vx3rgs4r 395 5 marrow marrow NN cord-017142-vx3rgs4r 395 6 transplantation transplantation NN cord-017142-vx3rgs4r 395 7 Evidence evidence NN cord-017142-vx3rgs4r 395 8 - - HYPH cord-017142-vx3rgs4r 395 9 based base VBN cord-017142-vx3rgs4r 395 10 focused focused JJ cord-017142-vx3rgs4r 395 11 review review NN cord-017142-vx3rgs4r 395 12 of of IN cord-017142-vx3rgs4r 395 13 management management NN cord-017142-vx3rgs4r 395 14 of of IN cord-017142-vx3rgs4r 395 15 hyperviscosity hyperviscosity NNP cord-017142-vx3rgs4r 395 16 syndrome syndrome NN cord-017142-vx3rgs4r 395 17 Early early JJ cord-017142-vx3rgs4r 395 18 - - HYPH cord-017142-vx3rgs4r 395 19 onset onset NN cord-017142-vx3rgs4r 395 20 severe severe JJ cord-017142-vx3rgs4r 395 21 diffuse diffuse JJ cord-017142-vx3rgs4r 395 22 alveolar alveolar NN cord-017142-vx3rgs4r 395 23 hemorrhage hemorrhage NN cord-017142-vx3rgs4r 395 24 after after IN cord-017142-vx3rgs4r 395 25 bortezomib bortezomib NNP cord-017142-vx3rgs4r 395 26 administration administration NN cord-017142-vx3rgs4r 395 27 suggestive suggestive JJ cord-017142-vx3rgs4r 395 28 of of IN cord-017142-vx3rgs4r 395 29 pulmonary pulmonary JJ cord-017142-vx3rgs4r 395 30 involvement involvement NN cord-017142-vx3rgs4r 395 31 of of IN cord-017142-vx3rgs4r 395 32 myeloma myeloma NN cord-017142-vx3rgs4r 395 33 cells cell NNS cord-017142-vx3rgs4r 396 1 Carfilzomib Carfilzomib NNP cord-017142-vx3rgs4r 396 2 associated associate VBD cord-017142-vx3rgs4r 396 3 thrombotic thrombotic JJ cord-017142-vx3rgs4r 396 4 microangiopathy microangiopathy NN cord-017142-vx3rgs4r 396 5 initially initially RB cord-017142-vx3rgs4r 396 6 treated treat VBN cord-017142-vx3rgs4r 396 7 with with IN cord-017142-vx3rgs4r 396 8 therapeutic therapeutic JJ cord-017142-vx3rgs4r 396 9 plasma plasma NN cord-017142-vx3rgs4r 396 10 exchange exchange NN cord-017142-vx3rgs4r 396 11 Invasive invasive JJ cord-017142-vx3rgs4r 396 12 fungal fungal JJ cord-017142-vx3rgs4r 396 13 infections infection NNS cord-017142-vx3rgs4r 396 14 in in IN cord-017142-vx3rgs4r 396 15 patients patient NNS cord-017142-vx3rgs4r 396 16 with with IN cord-017142-vx3rgs4r 396 17 multiple multiple JJ cord-017142-vx3rgs4r 396 18 myeloma myeloma NN cord-017142-vx3rgs4r 396 19 : : : cord-017142-vx3rgs4r 396 20 a a DT cord-017142-vx3rgs4r 396 21 multi multi JJ cord-017142-vx3rgs4r 396 22 - - JJ cord-017142-vx3rgs4r 396 23 center center JJ cord-017142-vx3rgs4r 396 24 study study NN cord-017142-vx3rgs4r 396 25 in in IN cord-017142-vx3rgs4r 396 26 the the DT cord-017142-vx3rgs4r 396 27 era era NN cord-017142-vx3rgs4r 396 28 of of IN cord-017142-vx3rgs4r 396 29 novel novel JJ cord-017142-vx3rgs4r 396 30 myeloma myeloma NN cord-017142-vx3rgs4r 396 31 therapies therapy NNS cord-017142-vx3rgs4r 396 32 Hypersensitivity Hypersensitivity NNP cord-017142-vx3rgs4r 396 33 pneumonitis pneumonitis NN cord-017142-vx3rgs4r 396 34 - - HYPH cord-017142-vx3rgs4r 396 35 like like JJ cord-017142-vx3rgs4r 396 36 syndrome syndrome NN cord-017142-vx3rgs4r 396 37 associated associate VBN cord-017142-vx3rgs4r 396 38 with with IN cord-017142-vx3rgs4r 396 39 the the DT cord-017142-vx3rgs4r 396 40 use use NN cord-017142-vx3rgs4r 396 41 of of IN cord-017142-vx3rgs4r 396 42 lenalidomide lenalidomide JJ cord-017142-vx3rgs4r 396 43 Spinal spinal JJ cord-017142-vx3rgs4r 396 44 cord cord NN cord-017142-vx3rgs4r 396 45 compression compression NN cord-017142-vx3rgs4r 396 46 from from IN cord-017142-vx3rgs4r 396 47 epidural epidural NN cord-017142-vx3rgs4r 396 48 metastases metastasis NNS cord-017142-vx3rgs4r 396 49 Incidence incidence NN cord-017142-vx3rgs4r 396 50 and and CC cord-017142-vx3rgs4r 396 51 outcome outcome NN cord-017142-vx3rgs4r 396 52 of of IN cord-017142-vx3rgs4r 396 53 patients patient NNS cord-017142-vx3rgs4r 396 54 starting start VBG cord-017142-vx3rgs4r 396 55 renal renal JJ cord-017142-vx3rgs4r 396 56 replacement replacement NN cord-017142-vx3rgs4r 396 57 therapy therapy NN cord-017142-vx3rgs4r 396 58 for for IN cord-017142-vx3rgs4r 396 59 end end NN cord-017142-vx3rgs4r 396 60 - - HYPH cord-017142-vx3rgs4r 396 61 stage stage NN cord-017142-vx3rgs4r 396 62 renal renal JJ cord-017142-vx3rgs4r 396 63 disease disease NN cord-017142-vx3rgs4r 396 64 due due IN cord-017142-vx3rgs4r 396 65 to to IN cord-017142-vx3rgs4r 396 66 multiple multiple JJ cord-017142-vx3rgs4r 396 67 myeloma myeloma NN cord-017142-vx3rgs4r 396 68 or or CC cord-017142-vx3rgs4r 396 69 light light JJ cord-017142-vx3rgs4r 396 70 - - HYPH cord-017142-vx3rgs4r 396 71 chain chain NN cord-017142-vx3rgs4r 396 72 deposit deposit NN cord-017142-vx3rgs4r 396 73 disease disease NN cord-017142-vx3rgs4r 396 74 : : : cord-017142-vx3rgs4r 397 1 an an DT cord-017142-vx3rgs4r 397 2 ERA ERA NNP cord-017142-vx3rgs4r 397 3 - - HYPH cord-017142-vx3rgs4r 397 4 EDTA EDTA NNP cord-017142-vx3rgs4r 397 5 Registry Registry NNP cord-017142-vx3rgs4r 397 6 study study NN cord-017142-vx3rgs4r 397 7 MR MR NNP cord-017142-vx3rgs4r 397 8 findings finding NNS cord-017142-vx3rgs4r 397 9 in in IN cord-017142-vx3rgs4r 397 10 cardiac cardiac JJ cord-017142-vx3rgs4r 397 11 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 398 1 Implantable implantable JJ cord-017142-vx3rgs4r 398 2 cardioverterdefibrillator cardioverterdefibrillator NN cord-017142-vx3rgs4r 398 3 placement placement NN cord-017142-vx3rgs4r 398 4 in in IN cord-017142-vx3rgs4r 398 5 patients patient NNS cord-017142-vx3rgs4r 398 6 with with IN cord-017142-vx3rgs4r 398 7 cardiac cardiac JJ cord-017142-vx3rgs4r 398 8 amyloidosis amyloidosis NN cord-017142-vx3rgs4r 398 9 Severe severe JJ cord-017142-vx3rgs4r 398 10 reversible reversible JJ cord-017142-vx3rgs4r 398 11 cardiac cardiac JJ cord-017142-vx3rgs4r 398 12 failure failure NN cord-017142-vx3rgs4r 398 13 after after IN cord-017142-vx3rgs4r 398 14 bortezomib bortezomib NNP cord-017142-vx3rgs4r 398 15 treatment treatment NN cord-017142-vx3rgs4r 398 16 combined combine VBN cord-017142-vx3rgs4r 398 17 with with IN cord-017142-vx3rgs4r 398 18 chemotherapy chemotherapy NN cord-017142-vx3rgs4r 398 19 in in IN cord-017142-vx3rgs4r 398 20 a a DT cord-017142-vx3rgs4r 398 21 non non JJ cord-017142-vx3rgs4r 398 22 - - JJ cord-017142-vx3rgs4r 398 23 small small JJ cord-017142-vx3rgs4r 398 24 cell cell NN cord-017142-vx3rgs4r 398 25 lung lung NN cord-017142-vx3rgs4r 398 26 cancer cancer NN cord-017142-vx3rgs4r 398 27 patient patient NN cord-017142-vx3rgs4r 398 28 : : : cord-017142-vx3rgs4r 398 29 a a DT cord-017142-vx3rgs4r 398 30 case case NN cord-017142-vx3rgs4r 398 31 report report NN cord-017142-vx3rgs4r 398 32 Regulation regulation NN cord-017142-vx3rgs4r 398 33 of of IN cord-017142-vx3rgs4r 398 34 calcitonin calcitonin NN cord-017142-vx3rgs4r 398 35 receptor receptor NN cord-017142-vx3rgs4r 398 36 by by IN cord-017142-vx3rgs4r 398 37 glucocorticoid glucocorticoid NN cord-017142-vx3rgs4r 398 38 in in IN cord-017142-vx3rgs4r 398 39 human human JJ cord-017142-vx3rgs4r 398 40 osteoclast osteoclast NN cord-017142-vx3rgs4r 398 41 - - HYPH cord-017142-vx3rgs4r 398 42 like like JJ cord-017142-vx3rgs4r 398 43 cells cell NNS cord-017142-vx3rgs4r 398 44 prepared prepare VBN cord-017142-vx3rgs4r 398 45 in in IN cord-017142-vx3rgs4r 398 46 vitro vitro FW cord-017142-vx3rgs4r 398 47 using use VBG cord-017142-vx3rgs4r 398 48 receptor receptor NN cord-017142-vx3rgs4r 398 49 activator activator NN cord-017142-vx3rgs4r 398 50 of of IN cord-017142-vx3rgs4r 398 51 nuclear nuclear JJ cord-017142-vx3rgs4r 398 52 factor factor NN cord-017142-vx3rgs4r 398 53 - - HYPH cord-017142-vx3rgs4r 398 54 κB κb CD cord-017142-vx3rgs4r 398 55 ligand ligand NN cord-017142-vx3rgs4r 398 56 and and CC cord-017142-vx3rgs4r 398 57 macrophage macrophage NN cord-017142-vx3rgs4r 398 58 colonystimulating colonystimulating NN cord-017142-vx3rgs4r 398 59 factor factor NN cord-017142-vx3rgs4r 398 60 Local local JJ cord-017142-vx3rgs4r 398 61 control control NN cord-017142-vx3rgs4r 398 62 and and CC cord-017142-vx3rgs4r 398 63 survival survival NN cord-017142-vx3rgs4r 398 64 in in IN cord-017142-vx3rgs4r 398 65 spinal spinal JJ cord-017142-vx3rgs4r 398 66 cord cord NN cord-017142-vx3rgs4r 398 67 compression compression NN cord-017142-vx3rgs4r 398 68 from from IN cord-017142-vx3rgs4r 398 69 lymphoma lymphoma NN cord-017142-vx3rgs4r 398 70 and and CC cord-017142-vx3rgs4r 398 71 myeloma myeloma NN cord-017142-vx3rgs4r 398 72 Management Management NNP cord-017142-vx3rgs4r 398 73 of of IN cord-017142-vx3rgs4r 398 74 tumor tumor NN cord-017142-vx3rgs4r 398 75 lysis lysis NN cord-017142-vx3rgs4r 398 76 syndrome syndrome NN cord-017142-vx3rgs4r 398 77 in in IN cord-017142-vx3rgs4r 398 78 patients patient NNS cord-017142-vx3rgs4r 398 79 with with IN cord-017142-vx3rgs4r 398 80 multiple multiple JJ cord-017142-vx3rgs4r 398 81 myeloma myeloma NN cord-017142-vx3rgs4r 398 82 during during IN cord-017142-vx3rgs4r 398 83 bortezomib bortezomib JJ cord-017142-vx3rgs4r 398 84 treatment treatment NN cord-017142-vx3rgs4r 398 85 Thalidomidedexamethasone Thalidomidedexamethasone NNP cord-017142-vx3rgs4r 398 86 as as IN cord-017142-vx3rgs4r 398 87 primary primary JJ cord-017142-vx3rgs4r 398 88 therapy therapy NN cord-017142-vx3rgs4r 398 89 for for IN cord-017142-vx3rgs4r 398 90 advanced advanced JJ cord-017142-vx3rgs4r 398 91 multiple multiple JJ cord-017142-vx3rgs4r 398 92 myeloma myeloma NN cord-017142-vx3rgs4r 398 93 Carfilzomib Carfilzomib NNP cord-017142-vx3rgs4r 398 94 - - HYPH cord-017142-vx3rgs4r 398 95 associated associate VBN cord-017142-vx3rgs4r 398 96 cardiovascular cardiovascular JJ cord-017142-vx3rgs4r 398 97 adverse adverse JJ cord-017142-vx3rgs4r 398 98 events event NNS cord-017142-vx3rgs4r 398 99 : : : cord-017142-vx3rgs4r 398 100 a a DT cord-017142-vx3rgs4r 398 101 systematic systematic JJ cord-017142-vx3rgs4r 398 102 review review NN cord-017142-vx3rgs4r 398 103 and and CC cord-017142-vx3rgs4r 398 104 meta meta NNP cord-017142-vx3rgs4r 398 105 - - HYPH cord-017142-vx3rgs4r 398 106 analysis analysis NN cord-017142-vx3rgs4r 398 107 Multiple multiple JJ cord-017142-vx3rgs4r 398 108 myeloma myeloma NN cord-017142-vx3rgs4r 398 109 presenting present VBG cord-017142-vx3rgs4r 398 110 as as IN cord-017142-vx3rgs4r 398 111 interstitial interstitial JJ cord-017142-vx3rgs4r 398 112 lung lung NN cord-017142-vx3rgs4r 398 113 disease disease NN cord-017142-vx3rgs4r 398 114 Into into IN cord-017142-vx3rgs4r 398 115 the the DT cord-017142-vx3rgs4r 398 116 heart heart NN cord-017142-vx3rgs4r 398 117 : : : cord-017142-vx3rgs4r 398 118 the the DT cord-017142-vx3rgs4r 398 119 emerging emerge VBG cord-017142-vx3rgs4r 398 120 role role NN cord-017142-vx3rgs4r 398 121 of of IN cord-017142-vx3rgs4r 398 122 the the DT cord-017142-vx3rgs4r 398 123 ubiquitin ubiquitin NN cord-017142-vx3rgs4r 398 124 - - HYPH cord-017142-vx3rgs4r 398 125 proteasome proteasome VBN cord-017142-vx3rgs4r 398 126 system system NN cord-017142-vx3rgs4r 398 127 Incidence incidence NN cord-017142-vx3rgs4r 398 128 and and CC cord-017142-vx3rgs4r 398 129 risk risk NN cord-017142-vx3rgs4r 398 130 of of IN cord-017142-vx3rgs4r 398 131 cardiotoxicity cardiotoxicity NN cord-017142-vx3rgs4r 398 132 associated associate VBN cord-017142-vx3rgs4r 398 133 with with IN cord-017142-vx3rgs4r 398 134 bortezomib bortezomib NNP cord-017142-vx3rgs4r 398 135 in in IN cord-017142-vx3rgs4r 398 136 the the DT cord-017142-vx3rgs4r 398 137 treatment treatment NN cord-017142-vx3rgs4r 398 138 of of IN cord-017142-vx3rgs4r 398 139 cancer cancer NN cord-017142-vx3rgs4r 398 140 : : : cord-017142-vx3rgs4r 398 141 a a DT cord-017142-vx3rgs4r 398 142 systematic systematic JJ cord-017142-vx3rgs4r 398 143 review review NN cord-017142-vx3rgs4r 398 144 and and CC cord-017142-vx3rgs4r 398 145 metaanalysis metaanalysis NN cord-017142-vx3rgs4r 398 146 Acute acute JJ cord-017142-vx3rgs4r 398 147 spinal spinal JJ cord-017142-vx3rgs4r 398 148 cord cord NN cord-017142-vx3rgs4r 398 149 dysfunction dysfunction NN cord-017142-vx3rgs4r 398 150 . . . cord-017142-vx3rgs4r 399 1 In in IN cord-017142-vx3rgs4r 399 2 : : : cord-017142-vx3rgs4r 399 3 The the DT cord-017142-vx3rgs4r 399 4 Washington Washington NNP cord-017142-vx3rgs4r 399 5 manual manual NN cord-017142-vx3rgs4r 399 6 of of IN cord-017142-vx3rgs4r 399 7 medical medical JJ cord-017142-vx3rgs4r 399 8 therapeutics therapeutic NNS cord-017142-vx3rgs4r 399 9 Retracted retract VBD cord-017142-vx3rgs4r 399 10 : : : cord-017142-vx3rgs4r 399 11 overview overview NN cord-017142-vx3rgs4r 399 12 of of IN cord-017142-vx3rgs4r 399 13 recent recent JJ cord-017142-vx3rgs4r 399 14 trends trend NNS cord-017142-vx3rgs4r 399 15 in in IN cord-017142-vx3rgs4r 399 16 diagnosis diagnosis NN cord-017142-vx3rgs4r 399 17 and and CC cord-017142-vx3rgs4r 399 18 management management NN cord-017142-vx3rgs4r 399 19 of of IN cord-017142-vx3rgs4r 399 20 leptomeningeal leptomeningeal JJ cord-017142-vx3rgs4r 399 21 multiple multiple JJ cord-017142-vx3rgs4r 399 22 myeloma myeloma NN cord-017142-vx3rgs4r 399 23 Multiple multiple JJ cord-017142-vx3rgs4r 399 24 myeloma myeloma NN cord-017142-vx3rgs4r 399 25 involving involve VBG cord-017142-vx3rgs4r 399 26 skin skin NN cord-017142-vx3rgs4r 399 27 and and CC cord-017142-vx3rgs4r 399 28 pulmonary pulmonary JJ cord-017142-vx3rgs4r 399 29 parenchyma parenchyma NN cord-017142-vx3rgs4r 399 30 after after IN cord-017142-vx3rgs4r 399 31 autologous autologous JJ cord-017142-vx3rgs4r 399 32 stem stem NN cord-017142-vx3rgs4r 399 33 cell cell NN cord-017142-vx3rgs4r 399 34 transplantation transplantation NN cord-017142-vx3rgs4r 399 35 Proteasome Proteasome NNP cord-017142-vx3rgs4r 399 36 inhibitor inhibitor NN cord-017142-vx3rgs4r 399 37 associated associate VBD cord-017142-vx3rgs4r 399 38 thrombotic thrombotic JJ cord-017142-vx3rgs4r 399 39 microangiopathy microangiopathy NNP cord-017142-vx3rgs4r 399 40 Hypercalcemia Hypercalcemia NNP cord-017142-vx3rgs4r 399 41 remains remain VBZ cord-017142-vx3rgs4r 399 42 an an DT cord-017142-vx3rgs4r 399 43 adverse adverse JJ cord-017142-vx3rgs4r 399 44 prognostic prognostic JJ cord-017142-vx3rgs4r 399 45 factor factor NN cord-017142-vx3rgs4r 399 46 for for IN cord-017142-vx3rgs4r 399 47 newly newly RB cord-017142-vx3rgs4r 399 48 diagnosed diagnose VBN cord-017142-vx3rgs4r 399 49 multiple multiple JJ cord-017142-vx3rgs4r 399 50 myeloma myeloma NN cord-017142-vx3rgs4r 399 51 patients patient NNS cord-017142-vx3rgs4r 399 52 in in IN cord-017142-vx3rgs4r 399 53 the the DT cord-017142-vx3rgs4r 399 54 era era NN cord-017142-vx3rgs4r 399 55 of of IN cord-017142-vx3rgs4r 399 56 novel novel JJ cord-017142-vx3rgs4r 399 57 antimyeloma antimyeloma NNP cord-017142-vx3rgs4r 399 58 therapies therapy NNS cord-017142-vx3rgs4r 399 59 Conflicts conflict NNS cord-017142-vx3rgs4r 399 60 of of IN cord-017142-vx3rgs4r 399 61 Interest Interest NNP cord-017142-vx3rgs4r 399 62 KP KP NNP cord-017142-vx3rgs4r 399 63 = = SYM cord-017142-vx3rgs4r 399 64 research research NN cord-017142-vx3rgs4r 399 65 funds fund NNS cord-017142-vx3rgs4r 399 66 from from IN cord-017142-vx3rgs4r 399 67 Poseida Poseida NNP cord-017142-vx3rgs4r 399 68 , , , cord-017142-vx3rgs4r 399 69 Intrexon Intrexon NNP cord-017142-vx3rgs4r 399 70 / / SYM cord-017142-vx3rgs4r 399 71 Ziopharm Ziopharm NNP cord-017142-vx3rgs4r 399 72 , , , cord-017142-vx3rgs4r 399 73 Takeda Takeda NNP cord-017142-vx3rgs4r 399 74 . . . cord-017142-vx3rgs4r 400 1 Advisory Advisory NNP cord-017142-vx3rgs4r 400 2 board board NN cord-017142-vx3rgs4r 400 3 / / SYM cord-017142-vx3rgs4r 400 4 consultancy consultancy NN cord-017142-vx3rgs4r 400 5 in in IN cord-017142-vx3rgs4r 400 6 Takeda Takeda NNP cord-017142-vx3rgs4r 400 7 , , , cord-017142-vx3rgs4r 400 8 DAVA DAVA NNP cord-017142-vx3rgs4r 400 9 oncology oncology NN cord-017142-vx3rgs4r 400 10 , , , cord-017142-vx3rgs4r 400 11 Celgene Celgene NNP cord-017142-vx3rgs4r 400 12 , , , cord-017142-vx3rgs4r 400 13 Janssen Janssen NNP cord-017142-vx3rgs4r 400 14 , , , cord-017142-vx3rgs4r 400 15 Amgen Amgen NNP cord-017142-vx3rgs4r 400 16 , , , cord-017142-vx3rgs4r 400 17 BMS BMS NNP cord-017142-vx3rgs4r 400 18 , , , cord-017142-vx3rgs4r 400 19 and and CC cord-017142-vx3rgs4r 400 20 Oncopeptides Oncopeptides NNP cord-017142-vx3rgs4r 400 21 . . .