ROBERT T. MEANS JR, M.D.; JOHN P. GREER, M.D.; JOHN S. SERGENT, M.D.; THOMAS L. MCCURLEY, M.D.
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To the editor: McMillen and colleagues (1) recently reported the case of a patient with leukocytoclastic vasculitis who subsequently was found to have an IgA-kappa myeloma. Their patient, a 58-year-old woman, presented with a cutaneous vasculitis in 1980. In 1983 her vasculitis became purpuric, and she was found to be anemic and have urinary kappa light chains and a monoclonal IgA-kappa band (level, 3400 mg/dL). Her myeloma and skin lesions both showed an initial response to therapy and then recurred simultaneously. Biopsy of the skin lesion showed leukocytoclastic vasculitis. Direct immunofluorescence showed no immunoglobulin or complement. We report a similar
MEANS RT, GREER JP, SERGENT JS, MCCURLEY TL. Leukocytoclastic Vasculitis and Multiple Myeloma. Ann Intern Med. ;106:329. doi: 10.7326/0003-4819-106-2-329_1
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Published: Ann Intern Med. 1987;106(2):329.
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