CAJ | 학술논문

多发性骨髓瘤（myltiple myeloma, MM）是一种老年病，治疗原则以化疗为主。然而化学治疗相关的不良反应与希恩综合征的临床表现相似，对于无明确产后出血史的老年患者，往往容易造成误诊、漏诊。因此，老年多产的女性，在化疗期间出现顽固性低钠血症及消化道反应时，应考虑希恩综合征的可能，早期明确诊断，及时给予个体化治疗。
다발성골수류（myltiple myeloma, MM）시일충노년병，치료원칙이화료위주。연이화학치료상관적불량반응여희은종합정적림상표현상사，대우무명학산후출혈사적노년환자，왕왕용역조성오진、루진。인차，노년다산적녀성，재화료기간출현완고성저납혈증급소화도반응시，응고필희은종합정적가능，조기명학진단，급시급여개체화치료。
Multiple myeloma is common in the older population and is treated mainly with chemotherapy. However, chemotherapy-related side effects imitate the clinical manifestations of Sheehan's syndrome, which leads to misdiagnosis and missed diagnosis, particularly for older patients without a clear history of postpartum hemorrhage. Therefore, when older women with malignant myelomas show refractory hyponatremia and gastrointestinal disorders while under chemotherapy, a diagnosis of Sheehan's syndrome should be considered. The early detection of the disorder will guarantee timely individualized treatment.