Multiple myeloma with gangrene of all four extremities

"nIntroduction: Multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone and it results in bone pain or fracture, renal failure, susceptibility to infections, anemia, and hypercalcemia. The hyperviscosity syndrome is rare. Cryoglobulins are immunoglu...

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Main Authors: Mahmood Akhavan Tafti, Mahmood Karimi, Mohammad reza Mortazavizadeh, Hossein Soleimani Salehabadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2009-01-01
Series:International Journal of Hematology-Oncology and Stem Cell Research
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16084.pdf&manuscript_id=16084
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author Mahmood Akhavan Tafti
Mahmood Karimi
Mohammad reza Mortazavizadeh
Hossein Soleimani Salehabadi
author_facet Mahmood Akhavan Tafti
Mahmood Karimi
Mohammad reza Mortazavizadeh
Hossein Soleimani Salehabadi
author_sort Mahmood Akhavan Tafti
collection DOAJ
description "nIntroduction: Multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone and it results in bone pain or fracture, renal failure, susceptibility to infections, anemia, and hypercalcemia. The hyperviscosity syndrome is rare. Cryoglobulins are immunoglubulins that precipitate in the cold temperature less than 37˚C. Monoclonal cryoglobulins are associated with a significant hematologic disorder and are often asymptomatic. We reported the second case of multiple myeloma with gangrene of all four extremities. "nCase: The Patient was a 77 year-old farmer who was referred due to 2-weeks history of blue, cold and painful fingers spread to middle of forearms and forelegs which was accompanied by feet skin erosions, dark points on auricle and discoloration of nose tip. In physical examination, quadrigangrene associated with auricle and tip of nose ischemia was seen. Serum proteins electrophoresis demonstrated monoclonal gammopathy and serum was positive for cryoglobulin. Bone marrow study showed neoplastic plasma cells infiltration. The patient with cryoglobulinemia, based on multiple myeloma was treated.
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spelling doaj.art-c692f927200d4cec83e8f2f2bc8e03422023-08-02T06:27:42ZengTehran University of Medical SciencesInternational Journal of Hematology-Oncology and Stem Cell Research2008-30092008-22072009-01-01313436Multiple myeloma with gangrene of all four extremitiesMahmood Akhavan TaftiMahmood KarimiMohammad reza MortazavizadehHossein Soleimani Salehabadi"nIntroduction: Multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone and it results in bone pain or fracture, renal failure, susceptibility to infections, anemia, and hypercalcemia. The hyperviscosity syndrome is rare. Cryoglobulins are immunoglubulins that precipitate in the cold temperature less than 37˚C. Monoclonal cryoglobulins are associated with a significant hematologic disorder and are often asymptomatic. We reported the second case of multiple myeloma with gangrene of all four extremities. "nCase: The Patient was a 77 year-old farmer who was referred due to 2-weeks history of blue, cold and painful fingers spread to middle of forearms and forelegs which was accompanied by feet skin erosions, dark points on auricle and discoloration of nose tip. In physical examination, quadrigangrene associated with auricle and tip of nose ischemia was seen. Serum proteins electrophoresis demonstrated monoclonal gammopathy and serum was positive for cryoglobulin. Bone marrow study showed neoplastic plasma cells infiltration. The patient with cryoglobulinemia, based on multiple myeloma was treated.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16084.pdf&manuscript_id=16084 Multiple myeloma, cryoglobulinemia, gangrene
spellingShingle Mahmood Akhavan Tafti
Mahmood Karimi
Mohammad reza Mortazavizadeh
Hossein Soleimani Salehabadi
Multiple myeloma with gangrene of all four extremities
International Journal of Hematology-Oncology and Stem Cell Research
Multiple myeloma, cryoglobulinemia, gangrene
title Multiple myeloma with gangrene of all four extremities
title_full Multiple myeloma with gangrene of all four extremities
title_fullStr Multiple myeloma with gangrene of all four extremities
title_full_unstemmed Multiple myeloma with gangrene of all four extremities
title_short Multiple myeloma with gangrene of all four extremities
title_sort multiple myeloma with gangrene of all four extremities
topic Multiple myeloma, cryoglobulinemia, gangrene
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16084.pdf&manuscript_id=16084
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AT mohammadrezamortazavizadeh multiplemyelomawithgangreneofallfourextremities
AT hosseinsoleimanisalehabadi multiplemyelomawithgangreneofallfourextremities