Pleural amyloidosis in a patient with intractable pleural effusion and multiple myeloma.
Pleural involvement of systemic amyloidosis has been rarely reported. We report a case with multiple myeloma presenting an intractable right pleural effusion, in which pleural amyloidosis was diagnosed through pleural biopsy using a Cope needle. The diagnosis of pleural amyloidosis is important, because its refractory pleural effusion should be treated with pleurodesis. Since closed pleural biopsy using a Cope needle is much less invasive than thoracoscopy, the former should be attempted first whenever pleural amyloidosis is suspected.
Maeno
T
T
Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan. maenot@akagi.sb.gunma-u.ac.jp
Sando
Y
Y
Tsukagoshi
M
M
Suga
T
T
Endo
M
M
Seki
R
R
Ooyama
Y
Y
Yamagishi
T
T
Kaneko
Y
Y
Kanda
T
T
Iwasaki
T
T
Kurabayashi
M
M
Nagai
R
R
D000368:Aged; D000686:Amyloidosis / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D009101:Multiple Myeloma / Q000150:complications*; D010995:Pleural Diseases / Q000150:complications* / Q000175:diagnosis; D010996:Pleural Effusion / Q000209:etiology*