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Development of hyperammonemic encephalopathy in patients with multiple myeloma may be associated with the appearance of peripheral blood myeloma cells

✍ Scribed by Ikewaki, Junji; Ogata, Masao; Imamura, Tomoyuki; Kohno, Kazuhiro; Nakayama, Toshiyuki; Kadota, Jun-Ichi

Book ID
121407439
Publisher
Informa plc
Year
2009
Tongue
English
Weight
145 KB
Volume
50
Category
Article
ISSN
1042-8194

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## Abstract The citrate based anticoagulant ACD is commonly used in apheresis procedures. Due to its ability to decrease ionized calcium, citrate may cause unpleasant symptoms, such as paresthesias and muscle cramps, in patients undergoing therapeutic and donor apheresis. We noticed that patients w