Abstract
Plasma cell myeloma is an uncommon disease which, besides primarily involving the bone marrow, has a tendency to involve other organs thus presenting with different clinical manifestations. While pleural effusions are infrequent in this disease, true myelomatous pleural effusions are extremely rare. We report the case of a middle-aged Omani man with relapsed plasma cell myeloma who developed bilateral pleural effusions. The diagnosis of myelomatous pleural effusion was made by finding many abnormal plasma cells as well as a high level of a monoclonal protein (IgG κ) in the pleural fluid. In spite of a good initial response to therapy, the patient had progressive disease and died 6 months later with bacterial sepsis. We present a review of the literature that indicates the rarity of such a manifestation and its association with poor prognosis and short survival.
Publication Date
5-15-2011
First Page
259
Last Page
264
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Al-Farsi, Khalil; Al-Haddabi, Ibrahim; Al-Riyami, Nafla; Al-Sukaiti, Rashid; and Al-Kindi, Salam
(2011)
"Myelomatous Pleural Effusion : Case report and review of the literature,"
Sultan Qaboos University Medical Journal: Vol. 11: 259-264.
DOI: https://doi.org/10.18295/2075-0528.1272
