A possible complication of myeloma and can be a first presentation of the condition.
- Blurred vision
- Mucosal bleeding
- Dyspnoea (heart failure)
- Retinal vein distension
- Fundal haemorrhage
- Plasma viscosity (although diagnosis should be clinical)
Plasmapheresis, which should be organised on clinical grounds if symptoms present in those with known myeloma. Isovolaemic venesection is solely a holding measure until plasmapheresis. Definitive chemotherapy for the myleoma (or other rare cause) needs to be instituted.