Title of article
Sensorineural Hearing Loss as a First Presentation of Multiple Myeloma: A Successful Management with Therapeutic Plasma Exchange
Author/Authors
Daraei ، Morteza Department of Internal Medicine - Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Khajeh-Mehrizi ، Ahmad Department of Hematology and Medical Oncology - Cancer Institute, Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Amirzargar ، Behrooz Department of Otorhinolaryngology-Head and Neck Surgery - Otorhinolaryngology Research Center, Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Ameli ، Fereshteh Department of Pathology - Cancer Institute, Imam Khomeini Hospital Complex - Tehran University of Medical Sciences , Zeinalkhani ، Fahimeh Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital Complex - Tehran University of Medical Sciences
From page
125
To page
132
Abstract
Sudden sensorineural hearing loss (SSNHL) as the initial manifestation of multiple myeloma (MM) is rare. We present a 45-year-old woman with hyperviscosity syndrome (serum viscosity of 10.2 cP) from MM who presented with hearing disturbance that responded dramatically to plasma exchange with saline and intratympanic steroid treatment. Serum protein electrophoresis confirmed the presence of a monoclonal band, and bone marrow biopsy showed a hypercellular marrow with 90% plasma cells, which demonstrated lambda monoclonal restriction.
Keywords
Sensorineural hearing Loss , Viscosity , Multiple myeloma , Plasma exchange
Journal title
Case Reports in Clinical Practice
Journal title
Case Reports in Clinical Practice
Record number
2765270
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