Shoenfeld Y, Pick A I, Weinberger A, Ben-Bassat M, Pinkhas J
Respiration. 1978;36(3):160-4. doi: 10.1159/000193941.
A patient with multiple myeloma in whom recurrent right pleural effusion was the presenting sign of the disease is reported. An IgA (k) monoclonal component was found in both the pleural effusion and the serum. The bone marrow specimen was interpreted as typical for multiple myeloma and the pleural fluid contained numerous plasma cells. Treatment with cyclophosphamide was followed by clinical improvement and the disappearance of the pleural effusion.
报告了一例多发性骨髓瘤患者，其首发症状为反复出现的右侧胸腔积液。在胸腔积液和血清中均发现了IgA（κ）单克隆成分。骨髓标本被诊断为典型的多发性骨髓瘤，胸腔积液中含有大量浆细胞。使用环磷酰胺治疗后临床症状改善，胸腔积液消失。
