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Proc (Bayl Univ Med Cent). 2019 Dec 23;33(2):263-265. doi: 10.1080/08998280.2019.1698878. eCollection 2020 Apr.

Early stage IgD multiple myeloma in a 50-year-old man.

Proceedings (Baylor University. Medical Center)

C Lake Littlejohn, Andrew Whiteley, Marvin J Stone

Affiliations

  1. Department of Internal Medicine, Baylor University Medical CenterDallasTexas.
  2. Department of Oncology, Charles A. Sammons Cancer Center, Baylor University Medical CenterDallasTexas.

PMID: 32313482 PMCID: PMC7155962 DOI: 10.1080/08998280.2019.1698878

Abstract

We present the case of a 50-year-old Hispanic man who presented to the emergency department with an acute right femur fracture after 3 months of intermittent discomfort in the right leg. He was eventually diagnosed with immunoglobulin D (IgD) multiple myeloma, a rare class of myeloma that is often of advanced stage at diagnosis. Fortunately, our patient was stage I at diagnosis and did not have hypercalcemia, anemia, or renal insufficiency, as is common with myeloma. This report describes a rare case of an uncommon condition and highlights the fortunate aspects of this patient's unfortunate diagnosis.

Copyright © 2019 Baylor University Medical Center.

Keywords: IgD; M-spike; multiple myeloma; pathologic fracture

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