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Multiple Myeloma Mimicking a Small Vessel Vasculitis Presentation.

ABSTRACT: Multiple myeloma can have different clinical manifestations, and not all patients present with classic CRAB component. We describe a 46-year-old woman admitted to our hospital with a complaint of a bluish-to-black discoloration of the second toe that was rapidly progressive and acute kidney injury. We documented a Kappa light chain monoclonal gammopathy, increased presence of plasmacytes in bone marrow aspiration, and multiple lytic bone lesions, which led to a diagnosis of multiple myeloma. Although multiple myeloma presenting with blue finger syndrome is uncommon, it must always be considered as a differential diagnosis with this clinical finding.

SUBMITTER: Mejia-Zuluaga M

PROVIDER: S-EPMC7037530 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Multiple Myeloma Mimicking a Small Vessel Vasculitis Presentation.

Mejía-Zuluaga Mateo M Lacouture Jorge Andrés JA Gaviria Maria Clara MC Garcés Maria Adelaida MA Mejía Ana María AM Herrera Sebastián S

Case reports in rheumatology 20200212

Multiple myeloma can have different clinical manifestations, and not all patients present with classic CRAB component. We describe a 46-year-old woman admitted to our hospital with a complaint of a bluish-to-black discoloration of the second toe that was rapidly progressive and acute kidney injury. We documented a Kappa light chain monoclonal gammopathy, increased presence of plasmacytes in bone marrow aspiration, and multiple lytic bone lesions, which led to a diagnosis of multiple myeloma. Alt ...[more]

PMID: 32099712

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