title: Pleural amyloidosis as the first sign of IgD multiple myeloma.
abstract: We describe a case of IgD myeloma with amyloid and plasmocytic pleural localisations. At the onset of the disease it mimicked rheumatoid arthritis, which can be the first presentation of both AL amyloidosis and multiple myeloma. Pleural effusion can happen first in IgD myeloma, but our observation is of interest in that it confirms the very rare possibility of pleural amyloid and plasmocytic localisations devoid of pleural effusion.
authors.affiliation: Service de Rhumatologie du Professeur L. Euller-Ziegler, CHU Archet I de Nice, Hopital l'Archet 1, BP 3079 06202, Nice cedex 3, France. ROUX101fr@yahoo.fr
authors.forename: Christian Hubert
authors.initials: CH
authors.lastname: Roux
authors.forename: V
authors.initials: V
authors.lastname: Breuil
authors.forename: O
authors.initials: O
authors.lastname: Brocq
authors.forename: L
authors.initials: L
authors.lastname: Euller-Ziegler
mesh_terms: D000686:Amyloidosis / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007122:Immunoelectrophoresis; D007072:Immunoglobulin D / Q000097:blood*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009101:Multiple Myeloma / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D010994:Pleura / Q000000981:diagnostic imaging / Q000473:pathology; D010995:Pleural Diseases / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
chemical_list: D007072:Immunoglobulin D