Hermann G, Abdelwahab I F, Berson B D, Greenberg M L, Palestro C J
Department of Radiology, Mount Sinai Hospital, New York, New York.
Skeletal Radiol. 1990;19(5):379-81.
A 28-year-old woman with IgD myeloma was described. The patient presented with pain in the anterior wall of the chest, and tenderness over the ribs, thoracic spine, and right shoulder. A radionuclide bone scan showed increased uptake along the costochondral junctions, ribs, and shoulders, with the diffuse uptake in the costochondral junction being typical for costochondritis. Skeletal survey revealed small lucencies in the ribs, humeri, and shoulders, characteristic of MM. The patient's young age made the diagnosis of MM unlikely. The scintigraphic finding, typical of costochondritis, must be an extremely unusual pattern in MM since we were unable to find a similar case in the literature. It is speculated that MM may have been induced by chemical exposure.
报道了一名28岁的IgD骨髓瘤女性患者。该患者表现为胸前壁疼痛，肋骨、胸椎和右肩部有压痛。放射性核素骨扫描显示肋软骨关节、肋骨和肩部摄取增加，肋软骨关节处的弥漫性摄取是肋软骨炎的典型表现。骨骼检查发现肋骨、肱骨和肩部有小透亮区，这是多发性骨髓瘤的特征。患者年轻，多发性骨髓瘤的诊断不太可能。闪烁扫描结果是肋软骨炎的典型表现，在多发性骨髓瘤中一定是一种极其不寻常的模式，因为我们在文献中未能找到类似病例。推测多发性骨髓瘤可能是由化学暴露诱发的。
