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Case Reports in Medicine
Volume 2013, Article ID 236913, 2 pages
http://dx.doi.org/10.1155/2013/236913
Case Report

Pulmonary Embolism as the First Manifestation of Multiple Myeloma

Internal Medicine Department, Evangelismos General Hospital, 45-47 Ipsilantou Street, 10676 Athens, Greece

Received 21 May 2013; Accepted 26 August 2013

Academic Editor: Werner Rabitsch

Copyright © 2013 N. Vallianou 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

Multiple myeloma is considered a hypercoagulable state due to several mechanisms such as the increased IL-6 and immunoglobulins production, the defective fibrinolytic mechanism, and the acquired resistance to activated protein C that are involved in the pathogenesis and clinical futures of the disease. We describe a case of a female patient who presented to the hospital with pulmonary embolism as the first manifestation of the hypercoagulability of multiple myeloma.