Multiple myeloma presenting as eosinophilic pleural effusion.
An elderly man, with no comorbidity, presented with rapidly accumulating left pleural effusion. He also had generalized adenopathy. Pleural fluid cytology showed exudative pleural effusion with eosinophilia. Supraclavicular lymph node biopsy was reported as amyloid. On further investigation he was found to have kappa-light chain multiple myeloma. The final diagnosis was eosinophilic pleural effusion in a patient with multiple myeloma.
Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India. asmitamehta@aims.amrita.edu
Asmita A
AA
Mehta
Rajesh
R
Venkatakrishnan
Wesley
W
Jose
Muthu
M
Palaniappan
Keechilat
K
Pavithran
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003907:Dexamethasone / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D009101:Multiple Myeloma / Q000175:diagnosis* / Q000188:drug therapy; D010996:Pleural Effusion / Q000175:diagnosis* / Q000188:drug therapy; D011379:Prognosis; D013792:Thalidomide / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D013792:Thalidomide; D003907:Dexamethasone