Pericardial effusion as an initial manifestation of multiple myeloma: A case report and literature review
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 5
Abstract
Multiple myeloma, or Kahler's disease, is a neoplastic plasma cell disorder characterized by clonal proliferation of malignant plasma cells in the bone marrow. Although rare, it is the second most common hematologic malignancy. Multiple myeloma is associated with significant morbidity due to its end-organ destruction. Its clinical features are polymorphic and can be osteoarticular, neurological, hematological or visceral. However, cardiac involvement is uncommon and pericardial effusion secondary to multiple myeloma is very rare. Pericardial infiltration can be due to infection, amyloid deposits or plasmacytic infiltration and occurs at a late stage in the course of the disease. The majority of these patients are asymptomatic and pericardial tamponade is rare. The use of surgical drainage with intrapericardial injection of bleomycin has been reported in some cases, but the favorable response to systemic chemotherapy has been reported in only one case to date. Our case describes an unusual presentation of multiple myeloma, revealed by an isolated pericardial effusion. Keywords:Multiple Myeloma, pericardial Tamponade, oligoclonal profile
Authors and Affiliations
Chergaoui Safa, Abardazzou Abir, Raouah Mohammed Amine, El Karimi Saloua, El Hataoui Mustapha, Ahroui Yassine, Tali Adelali, Chabaa Laila
Keywords
Related Articles
- EP ID EP379512
- DOI -
- Views 74
- Downloads 0
Psychogenic Dyspnea – A Case Report
Abstract:Psychotic cases are now-a-days increasing in several parts of India mostly associated with marital life. Psychosis leads to several conditions which alters the physiology of patient. A person experiencing psycho...
Reparative Granuloma of the Mandible
We report the case of a young patient who presented a reparative granuloma revealed by a left lateral mandibular swelling evolving in a complex clinico-radiological presentation complicated by underlying mandibular fract...
Rhabdomyosarcoma, Immun Thrombocytopenic Purpura and Chronic Kidney Disease Coexistence: A Case Report
Rhabdomyosarcoma (RMS) is a group of soft tissue malignities arises from muscules. In adults head and neck involvement is rare. Immun thrombocytopenic purpura (ITP) is isolated thrombocytopenia with normal results of co...
Rare Case of Bilateral High Division of Sciatic Nerve with Bilateral Bifid "Divided" Piriformis and Unusual Perforating Branches of Profunda Femoris Vessels Crossing Posterior to the Nerve
This is a very rare case of bilateral high division of sciatic nerve of a 49 years old male Sudanese cadaver, with bilateral divided piriformis muscle(superior larger and inferior smaller). In this case the Sciatic nerve...
Extra Gastrointestinal Tumour (E-GIST): A Rare Case of Pelvic GIST
Gastrointestinal stromal tumors (GISTs) are rare tumors that can arise anywhere in the tubular gastrointestinal tract. A 60-year-old male presented with a pelvic mass measuring 12×10cm in diameter. He underwent explorato...