JOHN E. NESTLER, M.D.
To the editor: Multiple myeloma is usually associated with a normal or decreased platelet count. The rarity of thrombocytosis accompanying multiple myeloma has been noted by Waldenström (1) and Crosby (2). In 1973 Zimelman (3) reported three cases of multiple myeloma with platelet counts ranging between 400 000 and 871 000/mm3. I would like to report a patient recently examined at the Medical College of Virginia who had IgD multiple myeloma with associated thrombocytosis.
A 76-year-old black man was admitted to the coronary care unit in October 1980 for ventricular ectopy found during a routine visit to the general medicine
NESTLER JE. Immunoglobulin D Multiple Myeloma with Thrombocytosis. Ann Intern Med. ;94:412. doi: 10.7326/0003-4819-94-3-412_1
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Published: Ann Intern Med. 1981;94(3):412.
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