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Sarcoidosis and Multiple Myeloma: A Case Report and Literature Review

dc.contributor.authorSerra, J
dc.contributor.authorMartinho, A
dc.contributor.authorDuarte, F
dc.contributor.authorAldomiro, F
dc.date.accessioned2019-12-04T14:39:13Z
dc.date.available2019-12-04T14:39:13Z
dc.date.issued2019
dc.description.abstractThe existence of a sarcoidosis-lymphoma syndrome has been previously proposed since the relation between sarcoidosis and an increased risk of lymphoproliferative disorders is well established. Multiple myeloma is a malignant multifocal proliferation of clonal plasma cells within the bone marrow, and its association with sarcoidosis has been rarely described. We present a concurrent diagnosis of sarcoidosis and multiple myeloma and make a brief analysis of the reported cases in the literature. A 65-year-old woman underwent surgery for the excision of a wrist mass that presented 3 years before. Histological analysis showed sarcoid-type epithelioid granulomas without necrosis, establishing soft tissue sarcoidosis. Further evaluation revealed marked interstitial lung parenchyma lesions and large intrathoracic adenopathies. Bronchofibroscopy with transbronchial biopsy confirmed lung sarcoidosis. In addition, blood analysis showed monoclonal IgG kappa gammopathy. A bone marrow biopsy confirmed hypercellularity with 60% plasma cells and plasmocyte infiltration. Thus, the diagnosis of systemic sarcoidosis and multiple myeloma was established simultaneously. In a brief review of the literature, we identified 33 reports of cases with both sarcoidosis and multiple myeloma. We point out the importance of a high level of suspicion for the association of sarcoidosis with malignant haematological diseases such as multiple myeloma.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCase Rep Hematol. 2019;2019:4586265pt_PT
dc.identifier.doi10.1155/2019/4586265pt_PT
dc.identifier.issn2090-6579
dc.identifier.urihttp://hdl.handle.net/10400.10/2327
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawipt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875373/pdf/CRIHEM2019-4586265.pdfpt_PT
dc.subjectSarcoidosispt_PT
dc.subjectMultiple myelomapt_PT
dc.titleSarcoidosis and Multiple Myeloma: A Case Report and Literature Reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.titleCase Reports in Hematologypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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