Case Report
J Rheum Dis 2013; 20(1): 44-47
Published online February 28, 2013
© Korean College of Rheumatology
류마티스관절염 환자에서 혈관염을 동반하여 발병한 다발성 골수종 1예
손경민1ㆍ김자경1ㆍ김현아1ㆍ박혜림2ㆍ박은주3ㆍ오지민4ㆍ서영일1
한림대학교 의과대학 성심병원 내과학교실1, 병리학교실2, 피부과학교실3, 안양샘병원 류마티스내과4
Vasculitis as a Presenting Feature of Multiple Myeloma in a Patient with Rheumatoid Arthritis
Correspondence to : Young Il Seo
Paraneoplastic vasculitis is a part of secondary vasculitis, the hematological neoplasm, such as lymphoma or myelodysplastic syndrome, which is most frequently observed. However, in multiple myeloma, cutaneous vasculitis is a rare complication, particularly as an initial clinical symptom. We report one case where a purplish reticulated patch on the lower extremity and an ear lobe skin necrotic change developed in a rheumatoid arthritis patient. He was diagnosed with multiple myeloma and cutaneous vasculitis.
Keywords asculitis, Multiple myeloma, Rheumatoid arthritis
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Case Report
J Rheum Dis 2013; 20(1): 44-47
Published online February 28, 2013
Copyright © Korean College of Rheumatology.
류마티스관절염 환자에서 혈관염을 동반하여 발병한 다발성 골수종 1예
손경민1ㆍ김자경1ㆍ김현아1ㆍ박혜림2ㆍ박은주3ㆍ오지민4ㆍ서영일1
한림대학교 의과대학 성심병원 내과학교실1, 병리학교실2, 피부과학교실3, 안양샘병원 류마티스내과4
Vasculitis as a Presenting Feature of Multiple Myeloma in a Patient with Rheumatoid Arthritis
Kyeong Min Son1, Ja Kyung Kim1, Hyun Ah Kim1, Hye Rim Park2, Eun Ju Park3, Ji Min Oh4, Young Il Seo1
Departments of Internal Medicine1, Pathology2 and Dermatology3, Hallym University Sacred Heart Hospital, College of Medicine, Department of Rheumatology, Sam Hospital4, Anyang, Korea
Correspondence to:Young Il Seo
Abstract
Paraneoplastic vasculitis is a part of secondary vasculitis, the hematological neoplasm, such as lymphoma or myelodysplastic syndrome, which is most frequently observed. However, in multiple myeloma, cutaneous vasculitis is a rare complication, particularly as an initial clinical symptom. We report one case where a purplish reticulated patch on the lower extremity and an ear lobe skin necrotic change developed in a rheumatoid arthritis patient. He was diagnosed with multiple myeloma and cutaneous vasculitis.
Keywords: asculitis, Multiple myeloma, Rheumatoid arthritis
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