Intravenous Urography in Multiple Myeloma

ACUTE renal failure in patients with multiple myeloma who have had intravenous urography has had increased emphasis over the last few years.1 2 3 4 5 A direct cause- and-effect relation between the acute renal failure and intravenous urography seems to be accepted by many clinicians. Leucutia,6 on the basis of 5 cases in the Scandinavian and American medical literature, has stated that intravenous urography should not be performed for any reason in patients known to have multiple myeloma. Other authors have agreed by indicating, in clinical research protocols, that the patients with myeloma were not to be subjected to intravenous urography.7 The present . . .