title: Alveolar haemorrhage as a presenting feature of myeloma.
abstract: An immunoglobulin A (IgA)-paraprotein secreting myeloma was found to be the underlying disease in a patient who presented with alveolar haemorrhage. The diffuse pulmonary bleeding stopped after initiation of treatment consisting of corticosteroids and melphalan. A paraprotein mediated lesion of the alveolar capillary membrane was suspected but could not be demonstrated.
authors.affiliation: Dept of Medicine, University Hospital of Zurich, Switzerland.
authors.forename: E
authors.initials: E
authors.lastname: Russi
authors.forename: B
authors.initials: B
authors.lastname: Odermatt
authors.forename: H I
authors.initials: HI
authors.lastname: Joller-Jemelka
authors.forename: M A
authors.initials: MA
authors.lastname: Spycher
mesh_terms: D001706:Biopsy; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis; D011650:Pulmonary Alveoli / Q000473:pathology*; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed