THE ACCIDENTAL DIAGNOSIS OF MULTIPLE MYELOMA OF A PATIENT SUFFERING NEUROLOGICAL SYMPTOMS
Abstract:
Multiple Myeloma is a malignancy of blood cells often discovered by chance that mainly
affects elderly people. We present the case of a 75-year old female patient with a known history of
neurological pathology presented to the department of Neurology for gait abnormality, dizziness and
intermittent bone pain. Due to laboratory abnormalities the patient was referred to the hematology
department for further investigation. An immunogram was made which showed an increase of IgA and
low levels of immunoglobulin G and M. In the bone marrow aspiration the plasma cells were present
between 34% and 42%. Further investigations were made and the patient was diagnosed with
Multiple Myeloma type IgA with secretions of light kappa chains stage I A. Patient began treatment
with chemotherapy, proteasome inhibitors, corticosteroids and zoledronic acide. Since Multiple
Myeloma is not a curable disease, at some point, patients will relapse and new molecules should be
considered.
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