Meijer W G, Van Marwijk Kooy M, Laddé B E
Department of Internal Medicine, Sophia Hospital, Zwolle, The Netherlands.
Br J Haematol. 1994 Jul;87(3):663-5. doi: 10.1111/j.1365-2141.1994.tb08338.x.
We describe a patient with multiple myeloma and respiratory insufficiency. Autopsy revealed accumulation of IgG-kappa paraprotein in the alveolar space. The clinical and pathological presentation are typical for secondary pulmonary alveolar proteinosis. Attention is focussed on the possibility of secondary pulmonary alveolar proteinosis as a cause for dyspnoea in patients with haematological malignancies.