A Very Rare Presentation of Multiple Myeloma: Unilateral Raccoon Eye

  • Ceyhun Varım Sakarya University, Medical Faculty, Internal Medicine, 54000 Sakarya
  • Hasan Ergenc Sakarya University Education and Research Hospital, Internal Medicine, 54000 Sakarya
  • Mehmet Sevki Uyanık Sakarya University Education and Research Hospital, Internal Medicine, Hematology, 54000 Sakarya
  • Tezcan Kaya Sakarya University Education and Research Hospital, Internal Medicine, 54000 Sakarya
  • Ahmet Nalbant Sakarya University Education and Research Hospital, Internal Medicine, 54000 Sakarya
  • Cengiz Karacaer Sakarya University Education and Research Hospital, Internal Medicine, 54000 Sakarya
  • Cenk Sunu Sakarya University Education and Research Hospital, Internal Medicine, Hematology, 54000 Sakarya
  • Ali Tamer Sakarya University Education and Research Hospital, Internal Medicine, 54000 Sakarya
Keywords: raccoon eye, erythrocyte sedimentation rate, multiple myeloma, ecchymotic lesion, hematologic malignancies

Abstract

Multiple myeloma (MM), the second most common hematological malignancy, is caused by the accumulation of monoclonal plasma cells in bone marrow. It accounts for 10–15% of deaths from hematological malignancies and approximately 2% of deaths from cancer. The median age at presentation is 70 years old. The diagnosis is incidental in 30% of cases. MM is often discovered through routine blood screening with a large gap between the total protein and the albumin levels.

Two thirds of patients complain of bone pain, especially lower back pain. MM could be diagnosed after a pathologic fracture occurs in one third of patients. Presentation with symptoms related to hyperviscosity, hypercalcemia and bleeding tendency could also be observed. A rare presentation of MM is peri-orbital ecchymotic lesion (raccoon eye). Here, we report a 64 years old, male patient presented with unilateral raccoon eye and high erythrocyte sedimentation rate (ESR) to internal medicine outpatient. The patient was referred to hematology outpatient and was diagnosed with multiple myeloma.

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Published
2015-08-19
How to Cite
1.
VarımC, Ergenc H, UyanıkMS, Kaya T, Nalbant A, Karacaer C, Sunu C, Tamer A. A Very Rare Presentation of Multiple Myeloma: Unilateral Raccoon Eye. Open Access Maced J Med Sci [Internet]. 2015Aug.19 [cited 2020Oct.26];3(3):436-8. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2015.073
Section
C- Case Reports