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
Thyroid Abscess Rare Complication of Thyroid FNA: Case Report and Literature Review
Abstract: Fine needle aspiration (FNA) is a well-recognized modality for investigation of thyroid pathology. It is simple, reliable, inexpensive and generally safe procedure in the diagnosis of thyroid cysts and nodules....
Blepharo phimosis syndrome with squint in a 9-year-old boy
Abstract: Blepharo phimosis syndrome comprises many ocular signs among others blepharo phimosis, ptosis, epicanthus inversus. It may speedily lead to amblyopia. Its management is difficult and may require the expertise o...
Giant Bulla or Tension Pneumothorax- Diagnostic Dilemma in Emergency: A Case Series
Abstract: A single giant bulla or multiple emphysematous bullae that coalesce to form a giant bulla can give the impression of tension pneumothorax on chest radiography. We hereby report a series of two rare cases presen...
Penetrating Ocular Trauma from Fishhook
Fishing is one of the common recreational and commercial human activities. Ocular fishhook injuries are uncommon but may cause serious vision threatening damage to the eyes. Management of penetrating corneal fishhook in...
A Case Report: Recurrent Pregnancy Loss in Rh Negative Women with Hydrops Fetalis –Antenatal Diagnosis
Incidence of immune hydrops fetal is decreasing with the liberal use of anti-D immunoglobulin, But this condition has not been eradicated. We report here a case of immune hydrops fetalis detected on ultrasonography. Keyw...