Epistaxis and severe weakness in a patient with multiple myeloma. Therapy-related acute myeloid leukemia, pure erythroid leukemia.

TitleEpistaxis and severe weakness in a patient with multiple myeloma. Therapy-related acute myeloid leukemia, pure erythroid leukemia.
Publication TypeJournal Article
Year of Publication2006
AuthorsGuo C, Inghirami G, Ibrahim S, Sen F
JournalArch Pathol Lab Med
Volume130
Issue7
Pagination1075-6
Date Published2006 Jul
ISSN1543-2165
KeywordsAcute Disease, Aged, 80 and over, Antineoplastic Agents, Alkylating, Epistaxis, Humans, Leukemia, Erythroblastic, Acute, Leukemia, Myeloid, Male, Melphalan, Multiple Myeloma, Muscle Weakness
Abstract

Therapy-related acute myeloid leukemias arise as a result of cytotoxic chemotherapy and/or radiation therapy. The most common types of acute myeloid leukemia arising in this setting are acute myeloid leukemia with maturation, and lesser numbers of acute myelomonocytic leukemia, acute monocytic leukemia, acute erythroleukemia, or acute megakaryocytic leukemia. We present a patient with multiple myeloma who was treated with melphalan and 4 years later developed acute erythroid leukemia. The morphologic diagnosis of pure erythroid leukemia developing in the setting of multiple myeloma may be challenging.

DOI10.5858/2006-130-1075-EASWIA
Alternate JournalArch Pathol Lab Med
PubMed ID16831041
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