JOHN A. SCHINDLER, M.S., M.D., F.A.C.P.
This case of multiple myeloma is being reported because of certain features that are rarely reported in the literature on multiple myeloma.1 In half the cases of multiple myeloma the soft tissues, particularly the liver, spleen, and kidneys are invaded by the typical round cells closely resembling plasma cells and having little or no intercellular substance.2 The case presented demonstrates such invasion and a resulting liver damage of such advanced degree as to give rise to most of the symptoms and signs the patient presented, most notably a purpura initiated by a low blood prothrombin.
W. K., aged
SCHINDLER JA. A CASE OF MULTIPLE MYELOMA WITH LIVER INFILTRATION AND A LOW PROTHROMBIN PURPURA1. Ann Intern Med. ;19:140–143. doi: 10.7326/0003-4819-19-1-140
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Published: Ann Intern Med. 1943;19(1):140-143.
Coagulopathies, Gastroenterology/Hepatology, Hematology/Oncology, Liver Disease, Multiple Myeloma.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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