Pleural effusion as the first sign of Ig D ℷ multiple myeloma

被引：0
|
作者：
Maachi, M
Fellahi, S
Diop, ME
François, T
Capeau, J
Bastard, JP
机构：
[1] Hop Tenon, Lab Biochim & Hormonol, F-75970 Paris 20, France
[2] Hop Tenon, Serv Pneumol, F-75970 Paris, France
来源：
ANNALES DE MEDECINE INTERNE | 2003年 / 154卷 / 01期
关键词：
multiple myelome; pleural effusion; immunoglobulin D;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Immunoglobulin D (IgD) multiple myeloma is rare, accounting for less than 2% of all patients with multiple myeloma. The main presenting features are bone pain in 70% of patients. Extramedullary involvement is less common. We report a case of Ig D lambda multiple myeloma in a 74-year-old man that was revealed by pleural effusion and dyspnea. This effusion was found to be caused by multiple myeloma after electrophoretic and cytologic assays. The patient received a course of chemotherapy with melphalan and prednisone. The patient died one month later with signs of septic shock. Pleural effusion as a first sign of Ig D multiple myeloma is rarely described and the prognosis associated with such a localisation is very poor.
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收藏
页码：70 / 72
页数：3
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