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Case Reports in Rheumatology
Volume 2014 (2014), Article ID 235958, 4 pages
http://dx.doi.org/10.1155/2014/235958
Case Report

Ascites as the Presenting Symptom of Multiple Myeloma in a Scleroderma Patient

Department of Internal Medicine, Ain Wazein Hospital, P.O. Box 1503-2010/02, Ain Wazein, Lebanon

Received 30 August 2014; Accepted 4 November 2014; Published 20 November 2014

Academic Editor: James V. Dunne

Copyright © 2014 Nadeen Hilal and Adnan Atallah. 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

Several reports have demonstrated associations between scleroderma and cancer and between multiple myeloma and autoimmune diseases. Few papers have also reported the concurrence of scleroderma and multiple myeloma. We report a case of multiple myeloma that developed in a male patient after 28 years of fulfilling a diagnosis of scleroderma. The main presenting feature of multiple myeloma was ascites, solely explained by the increased vascular permeability that occurs in this disease.