The association of mast cell diseases and some hematologic malignancies, us
ually myeloproliferative disorders, myelodysplastic syndromes, and acute le
ukemia is well recognized. We report the case of a patient with telangiecta
sia macularis eruptiva perstans, a rare form of cutaneous mastocytosis, and
multiple myeloma, an association that has been described only twice in the
literature. Parallel improvement of both conditions was observed under che
motherapy regimens for multiple myeloma. Pathogenesis remains unclear, alth
ough the abnormalities in the c-kit pathway may play a role in the prolifer
ation of cells from both lineages.