Palpable purpura revealing multiple myeloma

lyarthritis of the hands, painful burning sensations in the feet, 10 kg weight loss, uric lesions and ecchymoses on the lower extremities and buttocks (Fig. 1A), suspected systemic vasculitis.During the diagnostic work-up, laboratory invesflammatory markers (ESR 80 mm/h; C-reactive protein 98.75 mg/L), is.Computed tomography revealed multiple osteolytic lesions involving the pelation identified a clonal plasma cell population, confirming multiple myeloma.presentation of plasma cell disorders.Possible mechanisms include paraproteinnomena.In patients with unexplained purpura accompanied by constitutional mmopathy should be considered.