Pleural effusion in multiple myeloma.

@article{Rodriguez1994PleuralEI,
  title={Pleural effusion in multiple myeloma.},
  author={J. N. Rodriguez and A. Pereira and J. Carrillo Martinez and Juan Carlos Conde and Emilio Pujol},
  journal={Chest},
  year={1994},
  volume={105 2},
  pages={
          622-4
        }
}
We report the first case of IgA-kappa multiple myeloma presenting as a myelomatous and eosinophilic pleural effusion with increased adenosine deaminase activity. In a review of the literature, 80 percent of myelomatous pleural effusions are due to IgA multiple myeloma. 
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A case of myelomatous effusion presenting as plasma-cell leukemia two years after initial diagnosis of IgG type multiple myeloma is described.
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A relapsed IgA myeloma case of a patient presenting with MPE is reported, who was treated with pomalidomide with a very good partial response and the data regarding the role of novel agents lack in the literature.
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A 67-year-old woman of stage IIa IgA λ-type multiple myeloma (MM) was hospitalized because of progressive dyspnea for 1 month and diagnostic thoracocentesis revealed exudative effusion without microorganism.
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Two patients with multiple Myeloma are described in whom an unusual complication developed: pleural effusion containing myeloma cells, and diagnostic thoracentesis should be performed in order to treat the effusion appropriately.
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