Open AccessAn Unusual Myeloma Case with Normal Erythrocyte Sedimentation Rate and Serum Immunoglobulins
Author(s) -
Edip Erkuş,
Aktas Gulali,
Zahid Kocak,
Duman Tuba T,
Atak Burcin M,
Haluk Şavlı
Publication year - 2018
Publication title -
journal of clinical cases and reports
Language(s) - English
Resource type - Journals
ISSN - 2582-0435
DOI - 10.46619/joccr.2018.1-1009
Subject(s) - multiple myeloma , erythrocyte sedimentation rate , medicine , nausea , vomiting , anemia , diarrhea , gastroenterology , antibody , bone marrow , immunology
Multiple Myeloma (MM) is a disease characterized by the increase of plasma cells in bone marrow or in other tissues and increased production of abnormal immunoglobulin (Ig) or Ig parts. In this report, we aimed to present a case of myeloma whom showed in our clinic with complaints of diarrhea, vomiting, fatigue and difficulty in walking. A 68- year-old male patient presented with diarrhea, fatigue, nausea, vomiting, and loss of appetite. He had splenomegaly in physical examination. Laboratory test revealed erythrocyte sedimentation rate: 4 mm/h and corrected calcium: 11.1 mg/dl. In conclusion, despite it is rare, multiple myeloma case may present with normal erythrocyte sedimentation rate and serum immunoglobulin levels. Anemia, bone lesions and hypercalcemia in an elderly may prompt diagnostic effort for multiple myeloma.