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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:265-273 July 22, 1999 Number 4
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Case 22-1999— A 68-Year-Old Woman with Multiple Myeloma, Diabetes Mellitus, and an Inflamed Eye
Maura A. Kelley, and Chin-Lee Wu

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Presentation of Case

A 68-year-old woman with refractory multiple myeloma was admitted to the hospital because of pancytopenia with bleeding.

Multiple myeloma had been diagnosed 10 years earlier but had not been treated until 7 years after the diagnosis, when the IgG level rose to 9270 mg per deciliter. Treatment with pulsed doses of dexamethasone resulted in a partial response. Seventeen months before admission, skeletal radiographs showed only osteopenia in the left hip. Radiographs of the lumbar spine, obtained eight months before admission because of low back pain, showed compression fractures of four vertebral bodies. Pneumonia developed in the same month. Vincristine, doxorubicin, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Maura A. Kelley's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References


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