Unusual Presentation of Multiple Myeloma

JNMA J Nepal Med Assoc. 2018 Jan-Feb;56(209):547-549. doi: 10.31729/jnma.3218.

Abstract

Malignancy is an independent risk factor of venous thromboembolism, although it is difficult to determine whether occult cancer is the cause of unprovoked VTE. About 25% of patients with VTE remain idiopathic. Here, the authors report the case of a 63-year-old woman with a history of unprovoked VTE some 10 months previously who presented with recurrent cough and dyspnea of 6 months duration and was finally diagnosed to have multiple myeloma.

Keywords: idiopathic venous thromboembolism; multiple myeloma; occult cancer..

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use
  • Blood Protein Electrophoresis / methods
  • Bone Marrow Examination / methods
  • Computed Tomography Angiography / methods
  • Diagnosis, Differential
  • Early Detection of Cancer
  • Female
  • Fractures, Compression* / diagnosis
  • Fractures, Compression* / etiology
  • Humans
  • Lumbar Vertebrae / diagnostic imaging*
  • Middle Aged
  • Multiple Myeloma* / complications
  • Multiple Myeloma* / diagnosis
  • Multiple Myeloma* / physiopathology
  • Pulmonary Embolism* / diagnosis
  • Pulmonary Embolism* / drug therapy
  • Pulmonary Embolism* / etiology
  • Pulmonary Embolism* / physiopathology
  • Rivaroxaban / therapeutic use
  • Thoracic Vertebrae / diagnostic imaging*
  • Venous Thromboembolism* / diagnosis
  • Venous Thromboembolism* / drug therapy
  • Venous Thromboembolism* / etiology
  • Venous Thromboembolism* / physiopathology

Substances

  • Anticoagulants
  • Rivaroxaban