以嗜酸性胸腔积液为表现的多发性骨髓瘤

Multiple myeloma presenting as eosinophilic pleural effusion.

作者信息

Mehta Asmita A, Venkatakrishnan Rajesh, Jose Wesley, Palaniappan Muthu, Pavithran Keechilat

机构信息

Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

出版信息

Asia Pac J Clin Oncol. 2010 Dec;6(4):256-9. doi: 10.1111/j.1743-7563.2010.01324.x. Epub 2010 Sep 29.

DOI:10.1111/j.1743-7563.2010.01324.x

PMID:21114774

Abstract

An elderly man, with no comorbidity, presented with rapidly accumulating left pleural effusion. He also had generalized adenopathy. Pleural fluid cytology showed exudative pleural effusion with eosinophilia. Supraclavicular lymph node biopsy was reported as amyloid. On further investigation he was found to have kappa-light chain multiple myeloma. The final diagnosis was eosinophilic pleural effusion in a patient with multiple myeloma.

摘要

一名无合并症的老年男性出现左侧胸腔积液迅速积聚。他还伴有全身淋巴结肿大。胸腔积液细胞学检查显示为嗜酸性粒细胞增多的渗出性胸腔积液。锁骨上淋巴结活检报告为淀粉样变。进一步检查发现他患有κ轻链多发性骨髓瘤。最终诊断为多发性骨髓瘤患者的嗜酸性胸腔积液。