Mendes-Bastos Pedro, Brás Susana, Amaro Cristina, Cardoso Jorge
Department of Dermatology and Venereology, Hospital de Curry Cabral, Centro Hospitalar de Lisboa Central, Lisbon, Portugal;
Department of Dermatology and Venereology, Hospital de Curry Cabral, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Skinmed. 2017 Apr 1;15(2):153-155. eCollection 2017.
A 78-year old man was diagnosed in 2006 with IgAκ multiple myeloma (MM) (stage III-A). The patient was referred to our dermatology department in 2012 for evaluation of erythematous skin nodules on the anterior right aspect of the thorax; the skin lesions were noted during hospitalization for multiple bone fractures. He was on fourth-line chemotherapy (with vincristine/adriamycin/dexamethasone) because of constant disease progression. The patient was unaware of the skin lesions' evolution over time and did not recall when they had first appeared. He had no pain, itching, or spontaneous bleeding.
一名78岁男性于2006年被诊断为IgAκ型多发性骨髓瘤（MM）（Ⅲ-A期）。2012年，该患者因右胸前侧出现红斑性皮肤结节而被转诊至我们皮肤科；这些皮肤损害是在因多处骨折住院期间发现的。由于疾病持续进展，他正在接受四线化疗（长春新碱/阿霉素/地塞米松）。患者未察觉到皮肤损害随时间的演变，也不记得它们最初何时出现。他没有疼痛、瘙痒或自发性出血。
