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Alveolar haemorrhage as a presenting feature of myeloma
E Russi1, B Odermatt, H I Joller-Jemelka
1Dept of Medicine, University Hospital of Zurich, Switzerland.
The European Respiratory Journal
|February 1, 1993
Abstract:
An immunoglobulin A (IgA)-paraprotein secreting myeloma was found to be the underlying disease in a patient who presented with alveolar haemorrhage. The diffuse pulmonary bleeding stopped after initiation of treatment consisting of corticosteroids and melphalan. A paraprotein mediated lesion of the alveolar capillary membrane was suspected but could not be demonstrated.