Document Detail

Myelomatous Pleural Effusion: Case report and review of the literature.
MedLine Citation:
PMID:  21969899     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Plasma cell myeloma is an uncommon disease which, besides primarily involving the bone marrow, has a tendency to involve other organs thus presenting with different clinical manifestations. While pleural effusions are infrequent in this disease, true myelomatous pleural effusions are extremely rare. We report the case of a middle-aged Omani man with relapsed plasma cell myeloma who developed bilateral pleural effusions. The diagnosis of myelomatous pleural effusion was made by finding many abnormal plasma cells as well as a high level of a monoclonal protein (IgG κ) in the pleural fluid. In spite of a good initial response to therapy, the patient had progressive disease and died 6 months later with bacterial sepsis. We present a review of the literature that indicates the rarity of such a manifestation and its association with poor prognosis and short survival.
Khalil Al-Farsi; Ibrahim Al-Haddabi; Nafla Al-Riyami; Rashid Al-Sukaiti; Salam Al-Kindi
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Publication Detail:
Type:  Journal Article     Date:  2011-05-15
Journal Detail:
Title:  Sultan Qaboos University medical journal     Volume:  11     ISSN:  2075-0528     ISO Abbreviation:  Sultan Qaboos Univ Med J     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-10-04     Completed Date:  2011-11-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101519915     Medline TA:  Sultan Qaboos Univ Med J     Country:  Oman    
Other Details:
Languages:  eng     Pagination:  259-64     Citation Subset:  -    
Departments of Haematology.
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