Massive pleural effusion due to IgG-Kappa subtype multiple myeloma: A case report
Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased surviva...
Saved in:
| Published in | Respiratory medicine case reports Vol. 29; p. 100984 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.01.2020
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2213-0071 2213-0071 |
| DOI | 10.1016/j.rmcr.2019.100984 |
Cover
Loading…
| Abstract | Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response.
In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy. |
|---|---|
| AbstractList | Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy. Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy. Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy.Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy. |
| ArticleNumber | 100984 |
| Author | Ungareevittaya, Piti Teawtrakul, Nattiya Chaisuriya, Nipon Reechaipichitkul, Wipa Chumpangern, Worawat So-Ngern, Apichart Ratanawatkul, Pailin Arunsurat, Itthiphat |
| AuthorAffiliation | b Division of Sleep Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand d Division of Hematology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand a Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand c Department of Pathology, Faculty of Medicine, Khon Kaen University, Thailand |
| AuthorAffiliation_xml | – name: a Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – name: b Division of Sleep Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – name: d Division of Hematology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – name: c Department of Pathology, Faculty of Medicine, Khon Kaen University, Thailand |
| Author_xml | – sequence: 1 givenname: Itthiphat surname: Arunsurat fullname: Arunsurat, Itthiphat organization: Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 2 givenname: Wipa surname: Reechaipichitkul fullname: Reechaipichitkul, Wipa email: wipree@yahoo.com organization: Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 3 givenname: Apichart surname: So-Ngern fullname: So-Ngern, Apichart organization: Division of Sleep Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 4 givenname: Piti surname: Ungareevittaya fullname: Ungareevittaya, Piti organization: Department of Pathology, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 5 givenname: Nipon surname: Chaisuriya fullname: Chaisuriya, Nipon organization: Department of Pathology, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 6 givenname: Nattiya surname: Teawtrakul fullname: Teawtrakul, Nattiya organization: Division of Hematology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 7 givenname: Pailin surname: Ratanawatkul fullname: Ratanawatkul, Pailin organization: Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand – sequence: 8 givenname: Worawat surname: Chumpangern fullname: Chumpangern, Worawat organization: Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31886127$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFkV9vFCEUxSemxtbaL-CD4dGXWbmw84fGmDRNrRtrjIk-EwburKzMMAKzyX57Wbc2bR8qL8Dl_M4l97wsjkY_YlG8BroACvW7zSIMOiwYBZELVLTLZ8UJY8BLShs4unc-Ls5i3NC8mlbQir0ojjm0bQ2sOSm-fVEx2i2SyeEclCPY93O0fiRmRpI8Wa2vy89qmhSJc5d2E5JhdslmORl26PygzskF0SoiCTj5kF4Vz3vlIp7d7qfFj49X3y8_lTdfr1eXFzelrhqWSuj6uheKmh4NXyJvGXa0AmN6seRAsWK64y00KFjPoGuxZqJpqGkq5AA146fF6uBrvNrIKdhBhZ30ysq_BR_WUoVktUMpoBMV9qwXxiwbrjuRLwDADO8UmC57fTh4TXM3oNE4pjyLB6YPX0b7U679VtaCAQORDd7eGgT_e8aY5GCjRufUiH6OknEOS1azhmbpm_u97pr8yyQL2EGgg48xYH8nASr32cuN3Gcv99nLQ_YZah9B2iaVcpD5v9Y9jb4_oJjT2loMMmqLo0ZjA-qUx2mfxs8f4drZ0WrlfuHuf_AfYHbdXw |
| CitedBy_id | crossref_primary_10_1159_000507984 |
| Cites_doi | 10.1378/chest.105.2.622 10.1111/1759-7714.12220 10.1016/j.rce.2017.11.001 10.1016/j.clml.2018.12.003 10.3346/jkms.2000.15.2.243 10.1200/JCO.2006.10.5460 10.1182/blood-2016-01-631200 10.1111/j.1600-0609.2012.01775.x 10.1182/blood.V114.22.3874.3874 10.1080/10428190500102845 10.1001/archinte.1978.03630290039015 10.1111/ijlh.12882 10.1200/JCO.2012.46.2598 |
| ContentType | Journal Article |
| Copyright | 2019 The Authors 2019 The Authors. 2019 The Authors 2019 |
| Copyright_xml | – notice: 2019 The Authors – notice: 2019 The Authors. – notice: 2019 The Authors 2019 |
| DBID | 6I. AAFTH AAYXX CITATION NPM 7X8 5PM DOA |
| DOI | 10.1016/j.rmcr.2019.100984 |
| DatabaseName | ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef PubMed MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | PubMed MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 2213-0071 |
| ExternalDocumentID | oai_doaj_org_article_91b95ef2f9dd473cb9ef21112d3ba1db PMC6921219 31886127 10_1016_j_rmcr_2019_100984 S2213007119303600 |
| Genre | Case Reports |
| GroupedDBID | .1- .FO 0R~ 1B1 1P~ 1~5 457 4G. 53G 5VS 7-5 AAEDT AAEDW AAIKJ AALRI AAXUO AAYWO ABMAC ACGFS ACVFH ADBBV ADCNI ADEZE ADRAZ ADVLN AEUPX AEVXI AEXQZ AFJKZ AFPUW AFRHN AFTJW AGHFR AIGII AITUG AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ AOIJS APXCP BAWUL BCNDV DIK EBS EJD EO9 EP2 EP3 FDB GROUPED_DOAJ HYE HZ~ IPNFZ IXB KQ8 M41 M48 M~E O-L O9- RIG ROL RPM SES SSZ XH2 Z5R 0SF 6I. AACTN AAFTH AFCTW NCXOZ AAYXX CITATION NPM 7X8 5PM |
| ID | FETCH-LOGICAL-c572t-1bf6f9a0dfed34e382eb051ddf94310e52cb3817e92f21b8e629770d75e311623 |
| IEDL.DBID | IXB |
| ISSN | 2213-0071 |
| IngestDate | Wed Aug 27 01:30:18 EDT 2025 Thu Aug 21 14:10:07 EDT 2025 Fri Jul 11 01:19:06 EDT 2025 Thu Jan 02 22:59:29 EST 2025 Tue Jul 01 01:00:36 EDT 2025 Thu Apr 24 23:07:58 EDT 2025 Tue Jul 25 21:05:01 EDT 2023 Tue Aug 26 16:34:51 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Language | English |
| License | This is an open access article under the CC BY-NC-ND license. 2019 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c572t-1bf6f9a0dfed34e382eb051ddf94310e52cb3817e92f21b8e629770d75e311623 |
| Notes | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
| OpenAccessLink | https://www.sciencedirect.com/science/article/pii/S2213007119303600 |
| PMID | 31886127 |
| PQID | 2331426270 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_91b95ef2f9dd473cb9ef21112d3ba1db pubmedcentral_primary_oai_pubmedcentral_nih_gov_6921219 proquest_miscellaneous_2331426270 pubmed_primary_31886127 crossref_primary_10_1016_j_rmcr_2019_100984 crossref_citationtrail_10_1016_j_rmcr_2019_100984 elsevier_sciencedirect_doi_10_1016_j_rmcr_2019_100984 elsevier_clinicalkey_doi_10_1016_j_rmcr_2019_100984 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2020-01-01 |
| PublicationDateYYYYMMDD | 2020-01-01 |
| PublicationDate_xml | – month: 01 year: 2020 text: 2020-01-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England |
| PublicationTitle | Respiratory medicine case reports |
| PublicationTitleAlternate | Respir Med Case Rep |
| PublicationYear | 2020 |
| Publisher | Elsevier Ltd Elsevier |
| Publisher_xml | – name: Elsevier Ltd – name: Elsevier |
| References | Zhong, Zhang, Wang (bib5) 2015; 6 Orlowski, Nagler, Sonneveld (bib9) 2007; 25 Saxe, Seo, Bergeron, Han (bib15) 2019 Feb; 41 Avet-Loiseau (bib12) 2013; 31 Rodriguez, Pereira, Martinez, Conde, Pujol (bib3) 1994; 105 Sonneveld (bib13) 2016 Jun; 127 Hjorth, Hjertner, Knudsen (bib10) 2012; 88 Riveiro, Ferreiro, Toubes, Lama, Álvarez-Dobaño, Valdés (bib4) 2018 Mar; 218 Kamble, Wilson, Fassas (bib8) 2005; 46 Kintzer, Rosenow, Kyle (bib1) 1978; 138 Kim, Lee, Oh (bib7) 2000; 15 Kamble, Wilson, Fassas (bib16) 2019 Feb; 41 Yanamandra (bib6) 2019 Mar; 19 Rodelo, Joshi (bib14) 2019 Jul 16; 11 Sasser, Yam, Li (bib2) 1990; 34 Kim (bib11) 2009; 114 Kim (10.1016/j.rmcr.2019.100984_bib11) 2009; 114 Riveiro (10.1016/j.rmcr.2019.100984_bib4) 2018; 218 Hjorth (10.1016/j.rmcr.2019.100984_bib10) 2012; 88 Orlowski (10.1016/j.rmcr.2019.100984_bib9) 2007; 25 Kamble (10.1016/j.rmcr.2019.100984_bib8) 2005; 46 Rodelo (10.1016/j.rmcr.2019.100984_bib14) 2019; 11 Sasser (10.1016/j.rmcr.2019.100984_bib2) 1990; 34 Avet-Loiseau (10.1016/j.rmcr.2019.100984_bib12) 2013; 31 Yanamandra (10.1016/j.rmcr.2019.100984_bib6) 2019; 19 Saxe (10.1016/j.rmcr.2019.100984_bib15) 2019; 41 Kintzer (10.1016/j.rmcr.2019.100984_bib1) 1978; 138 Rodriguez (10.1016/j.rmcr.2019.100984_bib3) 1994; 105 Zhong (10.1016/j.rmcr.2019.100984_bib5) 2015; 6 Kim (10.1016/j.rmcr.2019.100984_bib7) 2000; 15 Sonneveld (10.1016/j.rmcr.2019.100984_bib13) 2016; 127 Kamble (10.1016/j.rmcr.2019.100984_bib16) 2019; 41 |
| References_xml | – volume: 6 start-page: 359 year: 2015 end-page: 362 ident: bib5 article-title: Myelomatous pleural effusion involvement in 23 patients with multiple myeloma: a single‐center clinical analysis publication-title: Thorac. Canc. – volume: 218 start-page: 89 year: 2018 Mar end-page: 97 ident: bib4 article-title: Characteristics of patients with myelomatous pleural effusion. A systematic review publication-title: Rev. Clin. Esp. – volume: 88 start-page: 485 year: 2012 end-page: 496 ident: bib10 article-title: Thalidomide and dexamethasone vs. bortezomib and dexamethasone for melphalan refractory myeloma: a randomized study publication-title: Eur. J. Haematol. – volume: 15 start-page: 243 year: 2000 end-page: 246 ident: bib7 article-title: Myelomatous effusion with poor response to chemotherapy publication-title: J. Korean Med. Sci. – volume: 25 start-page: 3892 year: 2007 end-page: 3901 ident: bib9 article-title: Randomized phase III study of pegylated liposomal doxorubicin plus bortezomib compared with bortezomib alone in relapsed or refractory multiple myeloma: combination therapy improves time to progression publication-title: J. Clin. Oncol. – volume: 114 start-page: 3874 year: 2009 ident: bib11 article-title: Myelomatous pleural effusion of multiple myeloma: characteristics and outcome publication-title: Blood – volume: 138 start-page: 727 year: 1978 end-page: 730 ident: bib1 article-title: Thoracic and pulmonary abnormalities in multiple myeloma. A review of 958 cases publication-title: Arch. Intern. Med. – volume: 34 start-page: 479 year: 1990 end-page: 485 ident: bib2 article-title: Myeloma with involvement of the serous cavities. Cytologic and immunochemical diagnosis and literature review publication-title: Acta Cytol. – volume: 46 start-page: 1137 year: 2005 end-page: 1142 ident: bib8 article-title: Malignant pleural effusion of multiple myeloma: prognostic factors and outcome publication-title: Leuk. Lymphoma – volume: 41 start-page: 5 year: 2019 Feb end-page: 14 ident: bib16 article-title: Recent advances in cytogenetic characterization of multiple myeloma publication-title: Int. J. Lab. Hematol. – volume: 11 year: 2019 Jul 16 ident: bib14 article-title: Myelomatous pleural effusion as a presenting symptom: a case report publication-title: Cureus – volume: 19 start-page: 183 year: 2019 Mar end-page: 189 ident: bib6 article-title: Clinicopathological profile of myelomatous pleural effusion: single-center real-world experience and review of literature publication-title: Clin. Lymphoma, Myeloma & Leukemia – volume: 41 start-page: 5 year: 2019 Feb end-page: 14 ident: bib15 article-title: Recent advances in cytogenetic characterization of multiple myeloma publication-title: Int. J. Lab. Hematol. – volume: 31 start-page: 2806 year: 2013 ident: bib12 article-title: Chromosomal abnormalities are major prognostic factors in elderly patients with multiple myeloma: the intergroupe francophone du myélome experience publication-title: J. Clin. Oncol. – volume: 105 start-page: 622 year: 1994 end-page: 624 ident: bib3 article-title: Pleural effusion in multiple myeloma publication-title: Chest – volume: 127 start-page: 2955 year: 2016 Jun end-page: 2962 ident: bib13 article-title: Treatment of multiple myeloma with high-risk cytogenetics: a consensus of the International Myeloma Working Group publication-title: Blood – volume: 105 start-page: 622 year: 1994 ident: 10.1016/j.rmcr.2019.100984_bib3 article-title: Pleural effusion in multiple myeloma publication-title: Chest doi: 10.1378/chest.105.2.622 – volume: 6 start-page: 359 year: 2015 ident: 10.1016/j.rmcr.2019.100984_bib5 article-title: Myelomatous pleural effusion involvement in 23 patients with multiple myeloma: a single‐center clinical analysis publication-title: Thorac. Canc. doi: 10.1111/1759-7714.12220 – volume: 218 start-page: 89 issue: 2 year: 2018 ident: 10.1016/j.rmcr.2019.100984_bib4 article-title: Characteristics of patients with myelomatous pleural effusion. A systematic review publication-title: Rev. Clin. Esp. doi: 10.1016/j.rce.2017.11.001 – volume: 19 start-page: 183 issue: 3 year: 2019 ident: 10.1016/j.rmcr.2019.100984_bib6 article-title: Clinicopathological profile of myelomatous pleural effusion: single-center real-world experience and review of literature publication-title: Clin. Lymphoma, Myeloma & Leukemia doi: 10.1016/j.clml.2018.12.003 – volume: 15 start-page: 243 year: 2000 ident: 10.1016/j.rmcr.2019.100984_bib7 article-title: Myelomatous effusion with poor response to chemotherapy publication-title: J. Korean Med. Sci. doi: 10.3346/jkms.2000.15.2.243 – volume: 25 start-page: 3892 year: 2007 ident: 10.1016/j.rmcr.2019.100984_bib9 article-title: Randomized phase III study of pegylated liposomal doxorubicin plus bortezomib compared with bortezomib alone in relapsed or refractory multiple myeloma: combination therapy improves time to progression publication-title: J. Clin. Oncol. doi: 10.1200/JCO.2006.10.5460 – volume: 11 issue: 7 year: 2019 ident: 10.1016/j.rmcr.2019.100984_bib14 article-title: Myelomatous pleural effusion as a presenting symptom: a case report publication-title: Cureus – volume: 127 start-page: 2955 issue: 24 year: 2016 ident: 10.1016/j.rmcr.2019.100984_bib13 article-title: Treatment of multiple myeloma with high-risk cytogenetics: a consensus of the International Myeloma Working Group publication-title: Blood doi: 10.1182/blood-2016-01-631200 – volume: 88 start-page: 485 year: 2012 ident: 10.1016/j.rmcr.2019.100984_bib10 article-title: Thalidomide and dexamethasone vs. bortezomib and dexamethasone for melphalan refractory myeloma: a randomized study publication-title: Eur. J. Haematol. doi: 10.1111/j.1600-0609.2012.01775.x – volume: 114 start-page: 3874 issue: 22 year: 2009 ident: 10.1016/j.rmcr.2019.100984_bib11 article-title: Myelomatous pleural effusion of multiple myeloma: characteristics and outcome publication-title: Blood doi: 10.1182/blood.V114.22.3874.3874 – volume: 34 start-page: 479 year: 1990 ident: 10.1016/j.rmcr.2019.100984_bib2 article-title: Myeloma with involvement of the serous cavities. Cytologic and immunochemical diagnosis and literature review publication-title: Acta Cytol. – volume: 46 start-page: 1137 year: 2005 ident: 10.1016/j.rmcr.2019.100984_bib8 article-title: Malignant pleural effusion of multiple myeloma: prognostic factors and outcome publication-title: Leuk. Lymphoma doi: 10.1080/10428190500102845 – volume: 138 start-page: 727 year: 1978 ident: 10.1016/j.rmcr.2019.100984_bib1 article-title: Thoracic and pulmonary abnormalities in multiple myeloma. A review of 958 cases publication-title: Arch. Intern. Med. doi: 10.1001/archinte.1978.03630290039015 – volume: 41 start-page: 5 issue: 1 year: 2019 ident: 10.1016/j.rmcr.2019.100984_bib16 article-title: Recent advances in cytogenetic characterization of multiple myeloma publication-title: Int. J. Lab. Hematol. doi: 10.1111/ijlh.12882 – volume: 31 start-page: 2806 issue: 22 year: 2013 ident: 10.1016/j.rmcr.2019.100984_bib12 article-title: Chromosomal abnormalities are major prognostic factors in elderly patients with multiple myeloma: the intergroupe francophone du myélome experience publication-title: J. Clin. Oncol. doi: 10.1200/JCO.2012.46.2598 – volume: 41 start-page: 5 issue: 1 year: 2019 ident: 10.1016/j.rmcr.2019.100984_bib15 article-title: Recent advances in cytogenetic characterization of multiple myeloma publication-title: Int. J. Lab. Hematol. doi: 10.1111/ijlh.12882 |
| SSID | ssj0000789052 |
| Score | 2.127951 |
| Snippet | Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%.... |
| SourceID | doaj pubmedcentral proquest pubmed crossref elsevier |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 100984 |
| SubjectTerms | Case Report |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwELbQHhAXxJvwkpG4oYjYjhN7bwtiWUBFQmKlvVlxPIZFbVrtNof998zESdWAtHtB6qVt3Mpf5vHFHn_D2JtYGlEYL3KFgSDHDE0upUMORel17YugBxHXxbfq5LT8cqbP9lp9UU1YkgdOwL2zwlsNUUYbQlmr1lt8gw4qg_KNCJ6iL-a8vYepIQbT-c6h3Y6U1L4AE-l4YiYVd12sWhIDFZaqBKwpZ1lpEO-fJad_yeffNZR7Sen4Hrs7skl-lGZxn92C7gG7vRj3yx-y7wvkxhjP-GYJpK_BIcae1sd46IFv1_zzz0_512azafhl72k5lk8Vhnx1Bcv1qjnkR7zFVMfT7sIjdnr88ceHk3xsopC3upbbXPhYRdsUIUJQJSgjwaMjhhAtcocCtGw9qfSBlYirN1BJpIRFqDUoIZAcPWYH3bqDp4yHyoS61QY85vTGBsQNcW6NKYUBfGVMTCC6dlQYp0YXSzeVkv12BLwj4F0CPmNvd2M2SV_j2qvf073ZXUna2MMHaDFutBh3k8VkTE131k3HTzFg4g-dX_vXejdqJCeJdNw47vVkPA49l7Zjmg7W_aWTSgnqB1AXGXuSjGk3MYy0BrlnnbF6Zmazmc-_6c5_DerglUU2Iuyz_wHVc3ZH0vrCsOT0gh1sL3p4iSRs618N_vYHa-8tmA priority: 102 providerName: Directory of Open Access Journals – databaseName: Scholars Portal Journals: Open Access dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3di9QwEA_nCeKL-G39IoJvUmnSpk0EkVM8T2UFwYV7C00zOU9223V3C95_70w_VqvHCUJf2iZtM8nM_DpJfsPY05BpkWgn4hQNQYwemlRK-RiSzKnCJV51JK6zT_nRPPtwrI732JjuaBDg5txfO8onNV8vnv_4fvYKFf7lr7Va62VF3J7C0KS_0dkldhk9U0GKOhvgfmeZaddnl4RHSkpqgO512Edz_mMmvqqj9J-4rL8h6Z8rK39zVYfX2bUBY_KDflDcYHtQ32RXZsMs-i32eYaIGa0cXy2AWDc4hNBS1Iz7Fvi24e9P3sUfy9Wq5JvWUZCWj-sO-fIMFs2yfMEPeIUOkPdzDrfZ_PDtlzdH8ZBaIa5UIbexcCEPpkx8AJ9mkGoJDtXT-2AQUSSgZOWIuw-MDFI4DblEoJj4QkEqBEKmO2y_bmq4x7jPtS8qpcGhpy-NR7mhnCutM6EBj4iJUYi2GnjHKf3Fwo4LzL5ZErwlwdte8BF7tquz6lk3Liz9mvpmV5IYs7sLzfrEDgpojXBGQZDBeJ8VaeUMnqChlz51pfAuYunYs3bclIpmFB90euGr1a7WAFl6KPLPek_GwWNRn2mSpqyhaTdWpqmgLAFFErG7_WDaNQztr0ZEWkSsmAyzScund-rTrx1neG4Qowhz_z-_9wG7KinQ0MWeHrL97bqFR4jGtu5xp2I_AeQVMIA priority: 102 providerName: Scholars Portal |
| Title | Massive pleural effusion due to IgG-Kappa subtype multiple myeloma: A case report |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S2213007119303600 https://dx.doi.org/10.1016/j.rmcr.2019.100984 https://www.ncbi.nlm.nih.gov/pubmed/31886127 https://www.proquest.com/docview/2331426270 https://pubmed.ncbi.nlm.nih.gov/PMC6921219 https://doaj.org/article/91b95ef2f9dd473cb9ef21112d3ba1db |
| Volume | 29 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Li9swEBbLFkovpe-6j6BCb8XEki1b6i27dLttSKGPpbkJy5J2UxLbZOND_31n_KJuYQuFEIgjOfZ49M2X0egTIa99IlkkDQtjAIIQIjQOKWFDFyVGZCayohVxXX1Kzy-Sj2uxPiKnw1oYLKvssb_D9Bat-yPz3przerOZf-Ucp2IyBhQEYDjC_-1xIttFfOuTMc-CcupRu_EOtg-xQ792pivz2u8KlAVlCusFlEwm8amV8Z-Eqb9p6J_VlL-Fp7N75G7PK-miu_T75MiVD8jtVT9z_pB8XgFLBmSj9dah0gZ13jeYKaO2cfRQ0Q-X78NlXtc5vW4MJmbpUGtIdz_dttrlb-mCFhD0aDfP8IhcnL37dnoe9tsphIXI-CFkxqde5ZH1zsaJiyV3BoaktV4Bi4ic4IVBvT6nuOfMSJdyIIeRzYSLGQOa9Jgcl1XpnhJqU2mzQkhnILrnyoLdwM6FlAmTDl4BYYMRddFrjeOWF1s9FJX90Gh4jYbXneED8mbsU3dKGze2PsFnM7ZElez2QLW_1L2baMWMEs5zr6xNsrgwCj4AuHMbm5xZE5B4eLJ6WIgK0Akn2tz402LsNXHVf_Z7NTiPhjGMEzN56armWvM4ZrgzQBYF5EnnTOONAeZKYKFZQLKJm03ufPpNublqdcJTBbyEqWf_eb3PyR2OyYU23_SCHB_2jXsJDOxgZuTWYvnl-3LWZjBm7YCD91UifwHTvzAX |
| linkProvider | Elsevier |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1La9wwEBYhhbaX0nfd9KFCb8WsJT8k9ZaEprtNNlCawN6EZUnJll2v2awP-fed8Yu6hRQKvqzX48d4NPN5NPqGkI8-kSyShoUxOIIQIjQOqdSGLkpMKkxk04bEdX6eTS-Tb4t0sUeO-7UwWFbZ-f7Wpzfeutsz6bQ5qZbLyQ_OcSpGMIAg4IYj-G6_B9cS2L9htjgaEi3Ipx41nXdQIESJbvFMW-e1XRfIC8oUFgwomYwCVMPjP4pTf-PQP8spf4tPJ4_Jow5Y0sP23p-QPVc-Jffn3dT5M_J9DjAZXButVg6pNqjzvsZUGbW1o7sNnV19DU_zqsrpTW0wM0v7YkO6vnWrzTr_TA9pAVGPthMNz8nlyZeL42nY9VMIi1TwXciMz7zKI-udjRMXS-4MjElrvQIYEbmUFwYJ-5zinjMjXcYBHUZWpC5mDHDSC7Jfbkr3ilCbSSuKVDoD4T1XFvQGei6kTJh0sAWE9UrURUc2jj0vVrqvKvupUfEaFa9bxQfk0yBTtVQbdx59hO9mOBJpspsdm-2V7uxEK2ZU6jz3ytpExIVR8AO8O7exyZk1AYn7N6v7lajgO-FEyzsvnQ5SI1v9p9yH3ng0DGKcmclLt6lvNI9jhq0BRBSQl60xDQ8GTlcCDBUBESMzGz35-J9yed0QhWcKgAlTr__zft-TB9OL-Zk-m52fHpCHHDMNTfLpDdnfbWv3FuDYzrxrhtsvRYIvxA |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Massive+pleural+effusion+due+to+IgG-Kappa+subtype+multiple+myeloma%3A+A+case+report&rft.jtitle=Respiratory+medicine+case+reports&rft.au=Arunsurat%2C+Itthiphat&rft.au=Reechaipichitkul%2C+Wipa&rft.au=So-Ngern%2C+Apichart&rft.au=Ungareevittaya%2C+Piti&rft.date=2020-01-01&rft.pub=Elsevier+Ltd&rft.issn=2213-0071&rft.eissn=2213-0071&rft.volume=29&rft_id=info:doi/10.1016%2Fj.rmcr.2019.100984&rft.externalDocID=S2213007119303600 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2213-0071&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2213-0071&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2213-0071&client=summon |