H. Murakami et al., Multiple myeloma presenting high fever and high serum levels of lactic dehydrogenase, CRP, and interleukin-6, AM J HEMAT, 64(1), 2000, pp. 76-77
Two myeloma patients presented high fever with no signs or data indicating
infection at diagnosis or relapse. Both patients had plasmablastic myeloma,
and serum levels of lactic dehydrogenase (LDH) and CRP were extremely high
. Plasmablastic morphology, high LDH, and CRP were recognized as poor progn
ostic factors, indicating a fulminant phase of multiple myeloma. Interleuki
n-6 (IL-6) was only high In measured cytokines. We proposed that IL-6 cause
d high fever and induced the fulminant phase In these 2 cases. Am. J. Hemat
ol. 64:76-77, 2000. (C) 2000 Wiley-Liss, Inc.