Clinical forms of myelomic disease, which is not a rare hematological illness, pathogenetically related to IgG and IgA hyperproduction, have a well-known symptoms complex and therefore present no diagnostic difficulties, but plasmocytoma can run without a typical clinical picture. In 1-5% cases M-component is represented by IgD, in 18-20%--by light chains of immunoglobulins. Unsecreting myeloma has no M-component. Atypical are also solitary and extramedullary plasmocytomas. Whether atypical forms of myelomic disease exist or its variants, even rare, present with own typical clinical picture, is discussed.
Clinical forms of myelomic disease, which is not a rare hematological illness, pathogenetically related to IgG and IgA hyperproduction, have a well-known symptoms complex and therefore present no diagnostic difficulties, but plasmocytoma can run without a typical clinical picture. In 1-5% cases M-component is represented by IgD, in 18-20%--by light chains of immunoglobulins. Unsecreting myeloma has no M-component. Atypical are also solitary and extramedullary plasmocytomas. Whether atypical forms of myelomic disease exist or its variants, even rare, present with own typical clinical picture, is discussed.
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