Non Secretory Multiple Myeloma Presenting as Pathological Fracture Bilateral Humerii: A case report
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Non Secretory Multiple Myeloma (NSMM) is a rare variant of multiple myeloma which is characterised by the absence of monoclonal gamma-globulins in blood or urine. The patients usually present with multiple lytic lesions in bones with pain, anaemia, hypercalcemia, normal renal function, and positive clonal proliferation of plasma cells and atypical plasma cells in bone marrow biopsy. We present a case report of a 45 year old female with bilateral pathological fracture of humerus. Skeletal survey showed multiple lytic lesions throughout the body with absence of monoclonal gamma globulins on serum immunoelectrophoresis. Bilateral plating was done for humeral fractures and chemotherapy was instituted. Fractures united and patient’s condition improved.
Authors and Affiliations
Mohd Faizan, Ziaul Hoda Shaan, Latif Z Jilani, Mazhar Abbas
Keywords
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