Bleeding tendency caused by the deposit of amyloid substance in the perivascular region

Intern Med. 1993 Nov;32(11):879-81. doi: 10.2169/internalmedicine.32.879.

Abstract

A 55-year-old woman, who had systemic amyloidosis associated with multiple myeloma, had sudden development of hematomas of her lip and upper eye lid. There was no evidence of deterioration of multiple myeloma, thrombocytopenia nor deficiency of coagulation factors. Biopsy specimen showed the deposit of amyloid substance in the dermis and perivascular region. The bleeding tendency in this patient with myeloma was likely due to the deposit of amyloid substance in the vascular wall; improvement was achieved with administration of hemostatic agents.

Publication types

  • Case Reports

MeSH terms

  • Adrenochrome / analogs & derivatives
  • Adrenochrome / therapeutic use
  • Amyloid / metabolism*
  • Amyloidosis / complications*
  • Blood Vessels / metabolism
  • Female
  • Hematoma / drug therapy
  • Hematoma / etiology*
  • Hemostatics / therapeutic use
  • Humans
  • Middle Aged
  • Multiple Myeloma / complications
  • Tranexamic Acid / therapeutic use

Substances

  • Amyloid
  • Hemostatics
  • Tranexamic Acid
  • Adrenochrome
  • carbazochrome