Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man

Multiple myeloma, a disorder commonly encountered in elderly patients, represents a malignant proliferation of plasma cells that primarily affects bone marrow. Pleural effusion as the presenting manifestation of the disease is uncommon. The authors report a case of multiple myeloma with unusual feat...

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Main Authors: Mohammed H AlShati, Ramesh Kumar, Shreeram Kannan
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2013/242045
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author Mohammed H AlShati
Ramesh Kumar
Shreeram Kannan
author_facet Mohammed H AlShati
Ramesh Kumar
Shreeram Kannan
author_sort Mohammed H AlShati
collection DOAJ
description Multiple myeloma, a disorder commonly encountered in elderly patients, represents a malignant proliferation of plasma cells that primarily affects bone marrow. Pleural effusion as the presenting manifestation of the disease is uncommon. The authors report a case of multiple myeloma with unusual features presenting at a relatively young age with massive spontaneous hemothorax and multiple thoracic masses completely obscuring rib shadow on plain chest imaging. The patient demonstrated a good response to melphalan chemotherapy without recurrence of effusion or the need for additional chemical or surgical pleural interventions.
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institution Kabale University
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language English
publishDate 2013-01-01
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spelling doaj-art-8b4435a246f946d99ba48c4b88923e2c2025-02-03T05:51:10ZengWileyCanadian Respiratory Journal1198-22412013-01-0120425325510.1155/2013/242045Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young ManMohammed H AlShati0Ramesh Kumar1Shreeram Kannan2Division of Respirology, Al-Adan Hospital, Ahmadi, KuwaitDivision of Hematology, Al-Adan Hospital, Ahmadi, KuwaitDepartment of Radiology, Al-Adan Hospital, Ahmadi, KuwaitMultiple myeloma, a disorder commonly encountered in elderly patients, represents a malignant proliferation of plasma cells that primarily affects bone marrow. Pleural effusion as the presenting manifestation of the disease is uncommon. The authors report a case of multiple myeloma with unusual features presenting at a relatively young age with massive spontaneous hemothorax and multiple thoracic masses completely obscuring rib shadow on plain chest imaging. The patient demonstrated a good response to melphalan chemotherapy without recurrence of effusion or the need for additional chemical or surgical pleural interventions.http://dx.doi.org/10.1155/2013/242045
spellingShingle Mohammed H AlShati
Ramesh Kumar
Shreeram Kannan
Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
Canadian Respiratory Journal
title Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
title_full Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
title_fullStr Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
title_full_unstemmed Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
title_short Dyspnea, Massive Effusion and Lytic Rib Lesion as Initial Presentation of Multiple Myeloma in a Young Man
title_sort dyspnea massive effusion and lytic rib lesion as initial presentation of multiple myeloma in a young man
url http://dx.doi.org/10.1155/2013/242045
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AT rameshkumar dyspneamassiveeffusionandlyticriblesionasinitialpresentationofmultiplemyelomainayoungman
AT shreeramkannan dyspneamassiveeffusionandlyticriblesionasinitialpresentationofmultiplemyelomainayoungman