Open AccessMegaloblastic anaemia in non secretory multiple myeloma: a rare presentation
Author(s) -
Dilshan Priyankara,
D Gunawardena
Publication year - 2013
Publication title -
ceylon medical journal
Language(s) - English
Resource type - Journals
eISSN - 2386-1274
pISSN - 0009-0875
DOI - 10.4038/cmj.v58i2.5688
Subject(s) - medicine , medical journal , ceylon , megaloblastic anaemia , presentation (obstetrics) , sri lanka , family medicine , library science , relevance (law) , public health , folic acid , pathology , south asia , surgery , law , ethnology , computer science , political science , history , programming language
A 31-year old army soldier presented with a four day history of fever and malaise. He was a teetotaller and a non-vegetarian. Physical examination was unremarkable There was no lymphadenopathy or organomegaly. Fever subsided spontaneously. Investigations showed pancytopaenia (WBC 2.2 × 103/μl , L:65%, N:19%, platelets 77×103/μl, haemoglobin 10.5 g/dl). MCV was 106.5 fl. Blood picture was typical of megaloblastic anaemia with oval macrocytes and hypersegmented neutrophils. ESR was 58 mm/hr.
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