title: Pleural amyloidosis in a patient with intractable pleural effusion and multiple myeloma.
abstract: 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.
authors.affiliation: Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan. maenot@akagi.sb.gunma-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Maeno
authors.forename: Y
authors.initials: Y
authors.lastname: Sando
authors.forename: M
authors.initials: M
authors.lastname: Tsukagoshi
authors.forename: T
authors.initials: T
authors.lastname: Suga
authors.forename: M
authors.initials: M
authors.lastname: Endo
authors.forename: R
authors.initials: R
authors.lastname: Seki
authors.forename: Y
authors.initials: Y
authors.lastname: Ooyama
authors.forename: T
authors.initials: T
authors.lastname: Yamagishi
authors.forename: Y
authors.initials: Y
authors.lastname: Kaneko
authors.forename: T
authors.initials: T
authors.lastname: Kanda
authors.forename: T
authors.initials: T
authors.lastname: Iwasaki
authors.forename: M
authors.initials: M
authors.lastname: Kurabayashi
authors.forename: R
authors.initials: R
authors.lastname: Nagai
mesh_terms: 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*