Objectives: To describe unusual vascular lesions in the nasal mucosa of a patient with multiple myeloma (MM). presenting with recurrent epistaxis. Materials and Methods: An extensive literature review was done looking for previous reports describing epistaxis secondary to nasal mucosa abnormalities in patients with MM. Medical records of a patient with unusual mucosal vascular lesions. https://www.megavitamines.shop/product-category/b-12-methylcobalamin/