An interesting cause of esophageal ulcer etiology: Multiple myeloma of IgG kappa subtype.
Multiple myeloma is a neoplasm of mature and immature plasma cells. A 50-year-old woman with lumbago, dysphagia, and left arm pain was presented. Upper endoscopical examination was performed. There was an exudate-covered ulcer in the distal esophagus, located at 30-32 cm from the incisors, covering the whole mucosa. Histopathological examination of the specimens obtained from the lesion showed the involvement of plasma cells consistent with multiple myeloma of IgG kappa subtype. Esophageal involvement of multiple myeloma should be kept in mind in patients presenting with dysphagia.
Pehlivan
Yavuz
Y
Gaziantep University, School of Medicine, Department of Internal Medicine, Sahinbey Medical Center, Gaziantep, TR-27310, Turkey.
Sevinc
Alper
A
Sari
Ibrahim
I
Gulsen
Murat T
MT
Buyukberber
Mehmet
M
Kalender
Mehmet E
ME
Camci
Celalettin
C
D004935:Esophageal Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis*; D007145:Immunoglobulin kappa-Chains / Q000032:analysis*; D008875:Middle Aged; D009101:Multiple Myeloma / Q000145:classification / Q000150:complications* / Q000276:immunology; D014456:Ulcer / Q000209:etiology*
D007074:Immunoglobulin G; D007145:Immunoglobulin kappa-Chains