Metastatic Pulmonary Calcinosis and Leukocytoclastic Vasculitis in a Patient with Multiple Myeloma

被引:5
作者
Cagirgani, Seckin [1 ]
Soyer, Nur [1 ]
Vural, Filiz [1 ]
Saydam, Guray [1 ]
Simsir, Ilgin Yildirim [1 ]
Donmez, Ayhan [1 ]
Akalin, Taner [2 ]
Biceroglu, Selen [3 ]
Tombuloglu, Murat [1 ]
机构
[1] Ege Univ, Sch Med, Dept Hematol, Izmir, Turkey
[2] Ege Univ, Sch Med, Dept Pathol, Izmir, Turkey
[3] Ege Univ, Sch Med, Dept Radiol, Izmir, Turkey
关键词
Multiple myeloma; Metastatic calcification; Leukocytoclastic vasculitis; CALCIFICATION; MANIFESTATIONS;
D O I
10.5505/tjh.2012.23600
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Both leukocytoclastic vasculitis and metastatic pulmonary calcification are conditions that rarely occur during the course of multiple myeloma. We present a multiple myeloma patient that had severe dyspnea due to metastatic pulmonary calcinosis, and ulceronecrotic skin lesions caused by leukocytoclastic vasculitis. After 3 courses of standard-dose chemotherapy all skin and pulmonary lesions disappeared. Autologous peripheral stem cell transplantation was performed and during 1 year of follow-up the patient was in complete remission; after 1 year, laboratory test results indicated disease relapse. Although the patient was treated with bortezomib and dexamethasone, the disease progressed. Non-myeloablative allogeneic stem cell transplantation was performed, but despite of all treatment the patient died due to disease progression.
引用
收藏
页码:397 / 400
页数:4
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