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Immunoglobulin D Multiple Myeloma Presenting as Spontaneous Fracture
Samer Al Hadidi1,2, Khalil Katato2, Ghassan Bachuwa2
1aMichigan State University, Flint, MI, USA.
This case report details a rare Immunoglobulin D multiple myeloma diagnosis in a 53-year-old male presenting with back pain. Successful treatment with chemotherapy and stem cell transplant achieved complete remission.
Area of Science:
- Hematology
- Oncology
Background:
- Multiple myeloma is a plasma cell malignancy.
- Immunoglobulin D multiple myeloma is a rare subtype with distinct clinical and prognostic features.
Observation:
- A 53-year-old male with a history of anaplastic oligodendroglioma presented with back pain due to a T12 pathological fracture.
- Diagnostic workup revealed normocytic anemia, hypercalcemia, elevated serum free kappa light chains, and markedly elevated Immunoglobulin D.
Findings:
- The patient was diagnosed with Immunoglobulin D multiple myeloma.
- Treatment with standard chemotherapy and autologous peripheral blood stem cell transplant resulted in complete remission lasting over 3 years.
Implications:
- This case highlights the importance of considering rare myeloma subtypes in diagnosis.
- Advancements in treatment offer new hope for patients with Immunoglobulin D multiple myeloma, potentially improving outcomes given its historically worse prognosis.
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