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Eur Respir J 1993; 6: 267-270
Copyright © ERS Journals Ltd 1993

Case Studies

Alveolar haemorrhage as a presenting feature of myeloma

E Russi, B Odermatt, HI Joller-Jemelka, and MA Spycher

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.




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Copyright © 1993 by the European Respiratory Society.