Roux Christian Hubert, Breuil V, Brocq O, Euller-Ziegler L
Service de Rhumatologie du Professeur L. Euller-Ziegler, CHU Archet I de Nice, Hopital l'Archet 1, BP 3079 06202, Nice cedex 3, France.
Clin Rheumatol. 2005 Jun;24(3):294-5. doi: 10.1007/s10067-004-1030-4. Epub 2004 Dec 1.
We describe a case of IgD myeloma with amyloid and plasmocytic pleural localisations. At the onset of the disease it mimicked rheumatoid arthritis, which can be the first presentation of both AL amyloidosis and multiple myeloma. Pleural effusion can happen first in IgD myeloma, but our observation is of interest in that it confirms the very rare possibility of pleural amyloid and plasmocytic localisations devoid of pleural effusion.
我们描述了一例具有淀粉样变和浆细胞性胸膜定位的IgD骨髓瘤病例。在疾病初期，它类似类风湿关节炎，而类风湿关节炎可能是AL淀粉样变性和多发性骨髓瘤的首发表现。胸腔积液可能首先出现在IgD骨髓瘤中，但我们的观察结果很有意思，因为它证实了胸膜淀粉样变和浆细胞性定位且无胸腔积液这种非常罕见的可能性。
