Korean J Med.  2012 Dec;83(6):823-827.

Platelet Dysfunction in a Patient with Multiple Myeloma: A Case Report with a Literature Review

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan Collage of Medicine, Seoul, Korea. csuh@amc.seoul.kr
  • 2Department of Laboratory Medicine, Asan Medical Center, University of Ulsan Collage of Medicine, Seoul, Korea.

Abstract

Multiple myeloma is a monoclonal plasma cell proliferation disorder with various symptoms and signs caused by paraproteinemias. Among these signs, a bleeding tendency is one of the major fatal causes. However, significant severe bleeding is rare in most cases. In this study, we report a case of multiple myeloma in a patient who had a severe recurrent bleeding tendency due to platelet dysfunction caused by paraproteins. After being treated with therapeutic plasma exchange and chemotherapy, the patient's monoclonal protein level decreased and the bleeding stopped.

Keyword

Multiple myeloma; Paraproteinemias; Hemostatic disorders; Platelet function tests; Plasmapheresis

MeSH Terms

Blood Platelets
Hemorrhage
Hemostatic Disorders
Humans
Multiple Myeloma
Paraproteinemias
Paraproteins
Plasma Cells
Plasma Exchange
Plasmapheresis
Platelet Function Tests
Paraproteins
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