Premium
Case of multiple myeloma mimicking an infectious disease with fever, intrahepatic cholestasis, renal failure, and pulmonary insufficiency
Author(s) -
Vella Francesco S.,
Simone Barbara,
Giannelli Gianluigi,
Pesolo MariaTeresa,
Ingravallo Giuseppe,
Gentile Antonia,
Antonaci Salvatore
Publication year - 2003
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.10257
Subject(s) - medicine , multiple myeloma , cholestasis , pulmonary alveolar proteinosis , multiorgan failure , lung , pathology , hepatitis , gastroenterology
We describe a case of multiple myeloma (MM) presenting with high fever, inflammatory chemistry abnormalities, simultaneous acute renal failure, cholestatic hepatitis, and acute lung failure. The extremely aggressive course and pulmonary involvement in the form of pulmonary alveolar proteinosis (PAP) are discussed, stressing the unusual nature of the findings and the variable picture of MM. Am. J. Hematol. 72:38–42, 2003. © 2002 Wiley‐Liss, Inc.