title: [IgD-kappa myeloma with unusual manifestations: an exceptional form].
abstract: The diagnosis of IgD (kappa) multiple myeloma was made in a 59-year-old woman. The disease was characterized by paraproteinemia of IgD (kappa) type, the occurrence of plasma cell leukemia, a polymorphous neoplastic proliferation with lymphoplasmacytoid cells, no Bence Jones proteinuria and a hemorrhagic pleural effusion. Judging from the related literature, it seems likely that the following findings have a great tendency to occur in various combinations: IgD (kappa) paraproteinemia, no evidence of Bence Jones proteinuria, polymorphous features of myeloma cells and extramedullary spread.
mesh_terms: D001536:Bence Jones Protein / Q000652:urine; D005260:Female; D006801:Humans; D007072:Immunoglobulin D / Q000032:analysis*; D007145:Immunoglobulin kappa-Chains / Q000032:analysis*; D007952:Leukemia, Plasma Cell / Q000276:immunology; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis / Q000276:immunology* / Q000473:pathology
chemical_list: D007072:Immunoglobulin D; D007145:Immunoglobulin kappa-Chains; D001536:Bence Jones Protein
vernacular_title: IgD (Kappa)-Myelom mit Ungewöhnlichen Manifestationen: Eine Sonderform.