Lake Littlejohn C, Whiteley Andrew, Stone Marvin J
Department of Internal Medicine, Baylor University Medical CenterDallasTexas.
Department of Oncology, Charles A. Sammons Cancer Center, Baylor University Medical CenterDallasTexas.
Proc (Bayl Univ Med Cent). 2019 Dec 23;33(2):263-265. doi: 10.1080/08998280.2019.1698878. eCollection 2020 Apr.
We present the case of a 50-year-old Hispanic man who presented to the emergency department with an acute right femur fracture after 3 months of intermittent discomfort in the right leg. He was eventually diagnosed with immunoglobulin D (IgD) multiple myeloma, a rare class of myeloma that is often of advanced stage at diagnosis. Fortunately, our patient was stage I at diagnosis and did not have hypercalcemia, anemia, or renal insufficiency, as is common with myeloma. This report describes a rare case of an uncommon condition and highlights the fortunate aspects of this patient's unfortunate diagnosis.
我们报告一例50岁的西班牙裔男性病例，该患者在右腿间歇性不适3个月后因急性右股骨骨折就诊于急诊科。他最终被诊断为免疫球蛋白D（IgD）多发性骨髓瘤，这是一种罕见的骨髓瘤类型，在诊断时通常处于晚期。幸运的是，我们的患者在诊断时处于I期，且没有骨髓瘤常见的高钙血症、贫血或肾功能不全。本报告描述了一例罕见疾病的罕见病例，并突出了该患者不幸诊断中的幸运之处。
