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CASE 418: CHEST PAIN in KAHLER DISEASE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 59 yo with chest pain  at sternum.
Cardiac ultrasound  suspected  cardiac ischemia, but  EKG  is normal.




Blood  test in  emergency  report   troponin I HS is high 60ng/ml  
CT scan  cardio-thorax detected sternum is  erosion.


Blood test  again  after 2h troponin I HS is dropped to 53ng/ml   and troponin  T HS is 82ng/mL.,  PTH is  12ng/mL,  BETAMICROGLOBULINE 4254 ( high)    AND  KAPPA GLOBULINE detected in electrophoresis.

CONCLUSION   TROPONINE rise  ABNORMAL in KAHLER disease, not  due to cardiac  infarction..

REFERENCES= 2 TEXTs.



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