Morán Blanco L M, Encinas Rodríguez C
Servicio de Radiología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Servicio de Hematología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Radiologia. 2014 Nov-Dec;56(6):e29-33. doi: 10.1016/j.rx.2013.04.003. Epub 2013 Jul 25.
Diffuse osteosclerotic lesions are a very uncommon radiologic presentation in multiple myeloma. These lesions affect the axial skeleton and proximal limbs; they may be accompanied by osteolytic lesions in the course of the disease. In fact, in cases of diffuse osteosclerosis, the diagnosis of multiple myeloma is reached only after ruling out other, more common diseases. We present an exceptional case of multiple myeloma with diffuse osteosclerosis and highlight the differences between this entity and POEMS syndrome.
弥漫性骨硬化性病变在多发性骨髓瘤中是一种非常罕见的影像学表现。这些病变累及中轴骨骼和近端肢体;在疾病过程中可能伴有溶骨性病变。事实上,在弥漫性骨硬化的病例中,只有在排除其他更常见的疾病后才能诊断为多发性骨髓瘤。我们报告一例伴有弥漫性骨硬化的特殊多发性骨髓瘤病例,并强调该实体与POEMS综合征之间的差异。