期刊论文详细信息
European Medical Journal Hematology
Digital Necrosis as Initial Manifestation of Multiple Myeloma: An Unusual Case Report
article
Hind Zrikem1  Abderrahim Raissi1  Salma Amrani Idrissi1  Hicham Yahyaoui1  Saloua Abbassi1  Mustapha Ait Ameur1  Mohammed Chakour1 
[1] Department of Laboratory Hematology, IBN SINA Military Hospital
关键词: Case report;    cryoglobulinemia;    multiple myeloma (MM).;   
DOI  :  10.33590/emjhematol/21-00164
来源: European Medical Journal
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【 摘 要 】

Clinical manifestations of multiple myeloma are variable. The authors report a 68-year-old female who presented to the hospital with bilateral digital necrosis and dry gangrenous toes in both left and right feet. She was diagnosed with IgA-λ multiple myeloma associated with Type I cryoglobulinaemia. Emergency management consisted in hyperhydration (plasmapheresis was not available) and thromboprophylaxis. Necrotic digits were amputated. Chemotherapy (bortezomib, lenalidomide, and dexamethasone) was started with good initial evolution. This uncommon presentation can easily be missed, and clinicians should be aware of a possible underlying malignancy.

【 授权许可】

CC BY-NC   

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