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Case Reports in Hematology
Volume 2013 (2013), Article ID 398769, 3 pages
http://dx.doi.org/10.1155/2013/398769
Case Report

Concurrent Presentation of Hodgkin Lymphoma and Multiple Myeloma

1Department of Hematology and Oncology, Medical College Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA
2Compass Oncology, 5050 NE Hoyt Street, Suite 256, Portland, OR 97213, USA
3Knight Cancer Institute, Oregon Health Sciences and University, 3181 SW Sam Jackson Park Road, Portland, OR, USA

Received 25 June 2013; Accepted 22 July 2013

Academic Editors: U. Dasgupta, N. Hamerschlak, and K. Konstantopoulos

Copyright © 2013 Rekha Chandran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The simultaneous presentation of the Hodgkin lymphoma and multiple myeloma in the absence of prior chemotherapy or radiation is very rare. Here, we discuss a 72-year-old patient who initially presented with generalized pruritis. Workup led to a diagnosis of multiple myeloma which progressed and required treatment. As part of his pretreatment workup, an MRI was performed to evaluate skeletal lesions. This revealed diffuse and bulky adenopathy which was confirmed by PET. A biopsy of an axillary node was consistent with the nodular sclerosing type Hodgkin lymphoma. He was treated with adriamycin, bleomycin, vinblastine, and dacarbazine (ABVD) chemotherapy × 6 resulting in complete resolution of his adenopathy and pruritis as well as improvement in his myeloma.