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

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.