Resolution of high output pulmonary edema due to hyperviscosity with plasma exchange in a patient with multiple myeloma- a case report.
Hyperviscosity syndrome
Multiple myeloma
Plasma exchange
Journal
Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis
ISSN: 1473-0502
Titre abrégé: Transfus Apher Sci
Pays: England
ID NLM: 101095653
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
29
06
2020
revised:
22
07
2020
accepted:
22
07
2020
pubmed:
12
8
2020
medline:
6
8
2021
entrez:
12
8
2020
Statut:
ppublish
Résumé
Symptomatic hyperviscosity is an oncologic emergency which is suspected when patients with certain hematogical malignancies present with neurological symptoms. Hyperviscosity syndrome is a rare clinical manifestation in multiple myeloma. We describe a case of a 61 year old lady who developed pulmonary infiltrates after being diagnosed with multiple myeloma. Treated as an infection with antibiotics and intravenous immunoglobulin, she had neurological symptoms which suggested the possibility of hyperviscosity syndrome. The patient received one session of plasma exchange with which her symptoms improved and chest infiltrates resolved (high output pulmonary edema). The case highlights a known but rare manifestation of multiple myeloma, which when diagnosed and treated quickly can have gratifying results.
Identifiants
pubmed: 32778524
pii: S1473-0502(20)30210-X
doi: 10.1016/j.transci.2020.102898
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
102898Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.