Multiple myeloma commonly presents as anemia, renal failure, bone pain, and infections. Presentation with epistaxis is extremely rare, and hence myeloma as the etiologic factor is seldom considered. We report the case of a patient who initially presented with recurrent epistaxis and then with myasthenia. It was only when he developed acute kidney injury 4 months after the initial presentation with epistaxis that a diagnosis of multiple myeloma was made.
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Queen Alexandra Hosp, Dept Clin Biochem, Head & Neck Unit, Portsmouth PO6 3LY, Hants, EnglandQueen Alexandra Hosp, Dept Clin Biochem, Head & Neck Unit, Portsmouth PO6 3LY, Hants, England
Sinclair, D
Resouly, A
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机构:Queen Alexandra Hosp, Dept Clin Biochem, Head & Neck Unit, Portsmouth PO6 3LY, Hants, England
Resouly, A
Spedding, A
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机构:Queen Alexandra Hosp, Dept Clin Biochem, Head & Neck Unit, Portsmouth PO6 3LY, Hants, England
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Department of Rheumatology, St. Michaels Hospital, Toronto, ON
Department of Rheumatology, Stockport NHS Trust, StockportDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Molloy C.B.
Peck R.A.
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Department of Rheumatology, Stockport NHS Trust, StockportDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Peck R.A.
Bonny S.J.
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Department of Haematology, Stockport NHS Trust, StockportDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Bonny S.J.
Jowitt S.N.
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Department of Haematology, Stockport NHS Trust, Stockport
Department of Haematology, Salford Royal NHS Trust, SalfordDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Jowitt S.N.
Denton J.
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Department of Osteoarticular Pathology, Manchester University, ManchesterDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Denton J.
Freemont A.J.
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Department of Osteoarticular Pathology, Manchester University, ManchesterDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
Freemont A.J.
Ismail A.A.
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Department of Rheumatology, Stockport NHS Trust, StockportDepartment of Rheumatology, St. Michaels Hospital, Toronto, ON
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Maulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, IndiaMaulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, India
Tandon, Swati
Wadhwa, Vikram
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Maulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, IndiaMaulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, India
Wadhwa, Vikram
Batra, Vasun
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Maulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, IndiaMaulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, India
Batra, Vasun
Shankar, Ravi
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Maulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, IndiaMaulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, India
Shankar, Ravi
Singh, Ishwar
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Maulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, IndiaMaulana Azad Med Coll, Dept Otorhinolaryngol & Head & Neck Surg, New Delhi, India