Pastor Rubín de Celis E, Ruiz Salmerón R J, Aguirre Jaca M, Rivas Manga M C, Marín Hernández G
Servicio de Medicina Interna y Anatomía Patológica, Facultad de Medicina, Universidad Autónoma, Madrid.
Rev Clin Esp. 1992 Oct;191(5):267-9.
We present the case of a patient diagnosed of IgA multiple myeloma who, four months after being diagnosed and after four cycles with VCAP with good response, showed high fever and constitutional syndrome; multiple subcutaneous nodules appeared during his hospitalization. Biopsy of the bone marrow, and of one of the nodules showed an immunoblastic lymphoma. Even with treatment the patient died due to a pneumonia and a digestive hemorrhage.
我们报告一例被诊断为IgA多发性骨髓瘤的患者，在诊断后四个月且接受四个周期的VCAP治疗且反应良好后，出现高热和全身症状；住院期间出现多个皮下结节。骨髓活检以及其中一个结节的活检显示为免疫母细胞淋巴瘤。尽管进行了治疗，患者仍因肺炎和消化道出血死亡。
