Diagnosis of Multiple Myeloma with Dizziness as the Main Manifestation
SHAN Kai
ZHAO Bin-bin
NIU Chi
GUO Wei
Abstract：Objective To strengthen understanding for clinical features of multiple myeloma (MM) in order to investigate correct thinking for patients with dizziness.Methods Clinical data of 1 MM patient with dizziness as the main performance was retrospectively analyzed.Results A 60 year-old male patient was admitted for shortness of breath, dizziness and fatigue after discontinuous activity for 1 year and aggravation associated by nausea for 1 day.The patient visited in orthopaedic department 1 week ago for left shoulder pain, and thoracic vertebrae magnetic resonance imaging MRI showed space occupying lesion from the 7th cervical vertebrae to the 2nd thoracic vertebrae of inside and outside intervertebral foramen.The patient visited in emergency department for dizziness and nausea aggravation 1 day ago.Blood routine examination showed severe anemia, but the serum couldn't be centrifuged from blood samples for biochemical examination, and then increasing M protein was considered.Bone marrow biopsy showed that plasma cells system was paraplasm, and percentage of myeloma cell was 68.5%, and then MM was confirmed 14 hours after admission.Conclusion Patients with shortness of breath, dizziness, fatigue, anemia and chronic bone pain in special parts should highly suspected as having MM when serum precipitation was difficulty in blood samples, and bone marrow puncture can quickly confirm diagnosis.
Keywords：Multiple myelomaM proteinMisdiagnosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 25-27 )