|
|||
| |||||||||||||||||||||||||||||||||||
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,
Differential Diagnosis
Clinical Diagnosis
Dr. Maura A. Kelley's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |