A 60-year-old woman who presented with weakness, night sweats, bone pa
in, easy bruising and weight loss was found to have ecchymoses and hep
atosplenomegaly. Blood counts showed persistent neutrophilia of mature
cell type with Dohle bodies and toxic granulation. Coexistence of chr
onic neutrophilic leukemia and multiple myeloma of kappa light chain t
ype was documented by bone marrow examination and immunofixation.