title: Ascites as the presenting symptom of multiple myeloma in a scleroderma patient.
abstract: Several reports have demonstrated associations between scleroderma and cancer and between multiple myeloma and autoimmune diseases. Few papers have also reported the concurrence of scleroderma and multiple myeloma. We report a case of multiple myeloma that developed in a male patient after 28 years of fulfilling a diagnosis of scleroderma. The main presenting feature of multiple myeloma was ascites, solely explained by the increased vascular permeability that occurs in this disease.
authors.affiliation: Department of Internal Medicine, Ain Wazein Hospital, P.O. Box 1503-2010/02, Ain Wazein, Lebanon.
authors.forename: Nadeen
authors.identifier: 0000-0002-1834-9388
authors.initials: N
authors.lastname: Hilal
authors.affiliation: Department of Internal Medicine, Ain Wazein Hospital, P.O. Box 1503-2010/02, Ain Wazein, Lebanon.
authors.forename: Adnan
authors.initials: A
authors.lastname: Atallah