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A hematologic condition expressed as a lung disease

Pleural involvement secondary to Multiple Myeloma is considered a very rare complication. According to the literature only 1% of these patients develop a myelomatous pleural effusion. We present a case of a 39 year old man with multiple myeloma diagnosed six years prior to our evaluation, which deve...

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Autores principales: Egozcue-Dionisi, Mónica, Nieves-Nieves, José, Fernández-Gonzalez, Ricardo, Fernández-Medero, Rosángela, Reyes-Sosa, Raúl, Lozada-Costas, José, Pérez-Duardo, Ramiro, Vélez-Rosario, Román
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000Research 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782346/
https://www.ncbi.nlm.nih.gov/pubmed/24358822
http://dx.doi.org/10.12688/f1000research.1-28.v1
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author Egozcue-Dionisi, Mónica
Nieves-Nieves, José
Fernández-Gonzalez, Ricardo
Fernández-Medero, Rosángela
Reyes-Sosa, Raúl
Lozada-Costas, José
Pérez-Duardo, Ramiro
Vélez-Rosario, Román
author_facet Egozcue-Dionisi, Mónica
Nieves-Nieves, José
Fernández-Gonzalez, Ricardo
Fernández-Medero, Rosángela
Reyes-Sosa, Raúl
Lozada-Costas, José
Pérez-Duardo, Ramiro
Vélez-Rosario, Román
author_sort Egozcue-Dionisi, Mónica
collection PubMed
description Pleural involvement secondary to Multiple Myeloma is considered a very rare complication. According to the literature only 1% of these patients develop a myelomatous pleural effusion. We present a case of a 39 year old man with multiple myeloma diagnosed six years prior to our evaluation, which developed progressive dyspnea, dry cough and right pleuritic chest pain two weeks prior to admission. On physical examination the patient had decreased breath sounds over the right posterior hemithorax accompanied by dullness to percussion. The chest radiogram was consistent with a right sided pleural effusion. Pleural fluid analysis revealed the presence of abundant abnormal plasma cells. The patient died four weeks after hospitalization. The presence of myelomatous pleural effusion is considered to be a poor prognostic finding, no matter at what disease stage it develops. So far no definite treatment has been shown to improve survival.
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spelling pubmed-37823462013-12-05 A hematologic condition expressed as a lung disease Egozcue-Dionisi, Mónica Nieves-Nieves, José Fernández-Gonzalez, Ricardo Fernández-Medero, Rosángela Reyes-Sosa, Raúl Lozada-Costas, José Pérez-Duardo, Ramiro Vélez-Rosario, Román F1000Res Case Report Pleural involvement secondary to Multiple Myeloma is considered a very rare complication. According to the literature only 1% of these patients develop a myelomatous pleural effusion. We present a case of a 39 year old man with multiple myeloma diagnosed six years prior to our evaluation, which developed progressive dyspnea, dry cough and right pleuritic chest pain two weeks prior to admission. On physical examination the patient had decreased breath sounds over the right posterior hemithorax accompanied by dullness to percussion. The chest radiogram was consistent with a right sided pleural effusion. Pleural fluid analysis revealed the presence of abundant abnormal plasma cells. The patient died four weeks after hospitalization. The presence of myelomatous pleural effusion is considered to be a poor prognostic finding, no matter at what disease stage it develops. So far no definite treatment has been shown to improve survival. F1000Research 2012-10-12 /pmc/articles/PMC3782346/ /pubmed/24358822 http://dx.doi.org/10.12688/f1000research.1-28.v1 Text en Copyright: © 2012 Egozcue-Dionisi M et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/publicdomain/zero/1.0/ Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication).
spellingShingle Case Report
Egozcue-Dionisi, Mónica
Nieves-Nieves, José
Fernández-Gonzalez, Ricardo
Fernández-Medero, Rosángela
Reyes-Sosa, Raúl
Lozada-Costas, José
Pérez-Duardo, Ramiro
Vélez-Rosario, Román
A hematologic condition expressed as a lung disease
title A hematologic condition expressed as a lung disease
title_full A hematologic condition expressed as a lung disease
title_fullStr A hematologic condition expressed as a lung disease
title_full_unstemmed A hematologic condition expressed as a lung disease
title_short A hematologic condition expressed as a lung disease
title_sort hematologic condition expressed as a lung disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782346/
https://www.ncbi.nlm.nih.gov/pubmed/24358822
http://dx.doi.org/10.12688/f1000research.1-28.v1
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