Hematuria as the first sign of multiple myeloma
Mariana Alves 1), Raul Moreno 2), Fátima Rodrigues 3), Anabela Rodrigues 3) & Teresa Fonseca 1)
1) CHLN, Medicina III, Hospital Pulido Valente, Lisboa, Portugal
2) CHLN, Hematologia e Transplantac ~ao Medular, Hospital Santa Maria, Lisboa, Portugal
3) CHLN, Imuno-hemoterapia, Hospital Santa Maria, Lisboa, Portugal
Key Clinical Message Patients with multiple myeloma may present with several signs and symptoms, inclusive of hemorrhagic diathesis. This case emphasizes the need to suspect uncommon etiologies for common signs and to be aware of the atypical effects of paraproteinemia.