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Pleural amyloidosis in a patient with intractable pleural effusion and multiple myeloma
Author(s) -
Maeno Toshitaka,
Sando Yoshichika,
Tsukagoshi Masaaki,
Suga Tatsuo,
Endo Michiko,
Seki Ryotaro,
Ooyama Yuko,
Yamagishi Takahiro,
Kaneko Yoshiaki,
Kanda Tsugiyasu,
Iwasaki Tsutomu,
Kurabayashi Masahiko,
Nagai Ryozo
Publication year - 2000
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1046/j.1440-1843.2000.00230.x
Subject(s) - medicine , pleural effusion , multiple myeloma , amyloidosis , thoracoscopy , pleurodesis , malignant pleural effusion , biopsy , radiology , pathology
: Pleural involvement of systemic amyloidosis has been rarely reported. We report a case with multiple myeloma presenting an intractable right pleural effusion, in which pleural amyloidosis was diagnosed through pleural biopsy using a Cope needle. The diagnosis of pleural amyloidosis is important, because its refractory pleural effusion should be treated with pleurodesis. Since closed pleural biopsy using a Cope needle is much less invasive than thoracoscopy, the former should be attempted first whenever pleural amyloidosis is suspected.