A rare presentation of myelomatous pleural effusion in immunoglobulin g subtype of multiple myeloma

Myeloma is a disease of neoplastic plasma cells that synthesize an abnormal amount of immunoglobulins (Igs) or Ig fragments. Multiple myeloma is associated with many complications such as impaired hematopoiesis resulting in anemia and other cytopenias, osteolytic bone lesions, hypercalcemia, and renal dysfunction. However, myelomatous pleural effusion is a rare complication of multiple myeloma, particularly at initial presentation. Herein, we report such a rare complication of myelomatous pleural effusion as initial presentation in a 65-year-old female with IgG type of myeloma.