Multiple myeloma presenting with bleeding diathesis

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]