Multiple myeloma manifesting as a salmon patch conjunctival mass.
OBJECTIVE
We report a 70-year-old man with a salmon patch conjunctival mass diagnosed as multiple myeloma.


METHODS
Case report.


METHODS
Surgical biopsies of the salmon patch conjunctival mass and bone marrow, as well as hematologic workup for multiple myeloma were performed.


RESULTS
Conjunctival biopsy revealed heavy myeloma cells with eccentric nuclei and basophilic cytoplasm infiltrate in the conjunctival stroma. Bone marrow biopsy and aspirate showed interstitial infiltrated by myeloma cells, which stained monoclonally for immunoglobulin G (IgG)-kappa light chains. Hematologic tests confirmed the diagnosis of multiple myeloma.


CONCLUSIONS
Multiple myeloma is one of the causes of a salmon patch conjunctival lesion and may be included in the differential diagnosis.
Shen
Ying-Cheng
YC
Department of Ophthalmology, Taichung Veterans General Hospital, No. 160 Section 3 Taichung Harbor Road, Taichung, Taiwan, ROC. eric550131@yahoo.com.tw
Wang
Chun-Yuan
CY
Huang
Tzu-Yu
TY
Lo
Yu-Shing
YS
Fong
Shih-Chao
SC
Lee
Yi-Fen
YF