CASE 418: CHEST PAIN in KAHLER DISEASE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAMMan 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 is 4254 (high)    and  KAPPA GLOBULINE detected in electrophoresis.CONCLUSION:   TROPONINE rise  abnormal in KAHLER disease, not\ due to cardiac infarction.

REFERENCES= 2 TEXTS.