• Can. Respir. J. · Jul 2013

    Case Reports

    Dyspnea, massive effusion and lytic rib lesion as initial presentation of multiple myeloma in a young man.

    • Mohammed H Alshati, Ramesh Kumar, and Shreeram Kannan.
    • Division of Respirology, Al-Adan Hospital, Ahmadi, Kuwait. dr_alshatti@hotmail.com
    • Can. Respir. J. 2013 Jul 1; 20 (4): 253-5.

    AbstractMultiple myeloma, a disorder commonly encountered in elderly patients, represents a malignant proliferation of plasma cells that primarily affects bone marrow. Pleural effusion as the presenting manifestation of the disease is uncommon. The authors report a case of multiple myeloma with unusual features presenting at a relatively young age with massive spontaneous hemothorax and multiple thoracic masses completely obscuring rib shadow on plain chest imaging. The patient demonstrated a good response to melphalan chemotherapy without recurrence of effusion or the need for additional chemical or surgical pleural interventions.

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