J Rheum Dis.
2013 Feb;20(1):44-47. 10.4078/jrd.2013.20.1.44.
Vasculitis as a Presenting Feature of Multiple Myeloma in a Patient with Rheumatoid Arthritis
- Affiliations
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- 1Department of Internal Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Anyang, Korea. yiseo@hallym.or.kr
- 2Department of Pathology, Hallym University Sacred Heart Hospital, College of Medicine, Anyang, Korea.
- 3Department of Dermatology, Hallym University Sacred Heart Hospital, College of Medicine, Anyang, Korea.
- 4Department of Rheumatology, Sam Hospital, Anyang, Korea.
- KMID: 2223048
- DOI: http://doi.org/10.4078/jrd.2013.20.1.44
Abstract
- Paraneoplastic vasculitis is a part of secondary vasculitis, the hematological neoplasm, such as lymphoma or myelodysplastic syndrome, which is most frequently observed. However, in multiple myeloma, cutaneous vasculitis is a rare complication, particularly as an initial clinical symptom. We report one case where a purplish reticulated patch on the lower extremity and an ear lobe skin necrotic change developed in a rheumatoid arthritis patient. He was diagnosed with multiple myeloma and cutaneous vasculitis.
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