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A Sign of Multiple Myeloma

Lourdes E. Monta, MD; Sundaram V. Ramanan, MD

JAMA. 1975;233(11):1192-1193.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

HEMORRHAGE resulting from hyperviscosity and coagulation defects is a recognized manifestation of myelomatosis.^1,2 Thromboembolism as a complication of this disease is, however, much less frequently recognized. Even more uncommon is myelomatosis presenting as deep vein thrombosis or pulmonary embolism. This is the case report of a patient with recurrent thromboembolic phenomena of unknown cause, until the diagnosis was established six months later.

Report of a Case

A 60-year-old woman was referred to West Virginia University Medical Center in July 1973 for evaluation of recurrent pulmonary emboli. She had been well until September 1972, when shortness of breath and midline chest pain with hemoptysis suddenly developed. The patient was admitted to her local hospital, where a diagnosis of embolism in the left lung was made and anticoagulant therapy begun. Information gleaned from hospital records of September 1972 indicated increased serum globulin at that time; however, this abnormality was not investigated. . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, West Virginia University Medical Center, Morgantown.

Footnotes
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