Correct!
5. All of the above

A variety of chronic inflammatory diseases have been associated with secondary amyloidosis. Chest diseases include bronchiectasis, tuberculosis and cystic fibrosis. However, a common cause is multiple myeloma (3). Our patient had an elevated kappa free light chain and bone marrow biopsy confirmed the presence of increased plasma cells consistent with multiple myeloma. The patient is currently undergoing treatment for his multiple myeloma. His chylothorax is being managed conservatively with the substitution of dietary fat by medium‐chain triglycerides which are absorbed directly into the portal circulation and by octreotide.

References

  1. Ryu JH, Tomassetti S, Maldonado F. Update on uncommon pleural effusions. Respirology. 2011 Feb;16(2):238-43. [CrossRef] [PubMed]
  2. Wesselius LJ. Medical image of the week: yellow nail syndrome. Southwest J Pulm Crit Care. 2017;15(4):230-1. [CrossRef]
  3. Lawler PR, Bergmark BA, Laubach JP, Lakdawala NK. Having a heavy heart: approaches to infiltrative cardiomyopathy. Circulation. 2014 Apr 22;129(16):1703-11. [CrossRef] [PubMed]

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