Acute or subacute kidney injury | Albuminuria or nephrotic syndrome | Electrolyte abnormalities |
Light chain cast nephropathy | Ig light chain amyloidosis | Hypercalcemia |
Hypercalcemia | Monoclonal Ig deposition disease (LCDD, HCDD, LHCDD) | Fanconi syndrome (light chain proximal tubulopathy, lenalidomide) |
Hyperuricemia | Proliferative glomerulonephritis with monoclonal Ig deposits | Pseudohyponatremia |
Nephrotoxic agents: - IV radiocontrast
- NSAIDs
- Bisphosphonates
- Lenalidomide, pomalidomide
- Bortezomib, carfilzomib, ixazomib
| Less common: - Monoclonal (type 1) cryoglobulinemia
- C3 glomerulopathy with monoclonal gammopathy
- Crystal globulinemia
- Crystalline podocytopathy
- Immunotactoid glomerulopathy
- Monoclonal fibrillary glomerulonephritis
| Hyponatremia (melphalan, cyclophosphamide) |
Less common: - Interstitial nephritis
- Plasma cell infiltration
- Thrombotic microangiopathy (bortezomib, carfilzomib)
- Hyperviscosity
- Crystal-storing histiocytosis
| Hypokalemia and metabolic acidosis (lenalidomide) |