• Respirology · Mar 2000

    Case Reports

    Pleural amyloidosis in a patient with intractable pleural effusion and multiple myeloma.

    • T Maeno, Y Sando, M Tsukagoshi, T Suga, M Endo, R Seki, Y Ooyama, T Yamagishi, Y Kaneko, T Kanda, T Iwasaki, M Kurabayashi, and R Nagai.
    • Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan. maenot@akagi.sb.gunma-u.ac.jp
    • Respirology. 2000 Mar 1; 5 (1): 79-80.

    AbstractPleural involvement of systemic amyloidosis has been rarely reported. We report a case with multiple myeloma presenting an intractable right pleural effusion, in which pleural amyloidosis was diagnosed through pleural biopsy using a Cope needle. The diagnosis of pleural amyloidosis is important, because its refractory pleural effusion should be treated with pleurodesis. Since closed pleural biopsy using a Cope needle is much less invasive than thoracoscopy, the former should be attempted first whenever pleural amyloidosis is suspected.

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