Multiple Myeloma and Its Treatment

Jeannine M. Brant

Barbara Felder

multiple myeloma
CJON 2002, 6(6), 359-362. DOI: 10.1188/02.CJON.359-362

In 1995, Mr. F visited an emergency room with symptoms of an upper respiratory infection and severe rib pain induced by coughing. He was diagnosed initially with pneumonia and two fractured ribs; however, further workup revealed elevated serum creatinine, calcium, and protein levels and severe anemia (hemoglobin = 4.1 mg/dl). Malignancy was suspected, and additional diagnostic test results, including a serum immunoglobulin A (IgA) level higher than 7,000 mg/dl, led to the diagnosis of stage IIIB multiple myeloma (MM).

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