Myelomatous pleural effusion.
Pleural effusions in multiple myeloma are relatively infrequent and more so myelomatous ones. We report a 66-year-old man who presented with multiple myeloma and a myelomatous right-sided pleural effusion. The diagnosis was made by repeated cytopathological pleural fluid examinations. The patient received one cycle of cyclophosphamide and methylprednisolone but despite therapy patient showed a downhill course. We reviewed the clinical features of this case and literature concerning multiple myeloma presenting as pleural effusion.
Gogia
A
A
Department of Medicine, Department of Nuclear Medicine, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi.
Agarwal
P K
PK
Jain
S
S
Jain
K P
KP
D000368:Aged; D003520:Cyclophosphamide / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010996:Pleural Effusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D003520:Cyclophosphamide; D008775:Methylprednisolone