Qaisar Hasnain, Saleem Adil, Samreen Asghar.
Multiple myeloma presenting with bleeding diathesis.
Biomedica Jan ;23:144-5.

Haemostatic defect due to platelet dysfunction rarely occurs in multiple myeloma. This report describes a 71-year old patient with multiple myeloma presented with severe bone pain and bleeding gums. Bone marrow biopsy revealed 65% plasma cells with atypical features. Coagulation profile showed normal prothrombin time and activated partial thromboplastin time whereas bleeding time performed by Ivy method was prolonged to 12 minutes (normal 2 — 7 minutes)

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