Dauth J, de Coning J P, Politzer W M, Robertson T, Raubenheimer E J
S Afr Med J. 1984 Jun 16;65(24):968-71.
The diagnosis of multiple myeloma (overt plasma cell dyscrasia) is usually not considered in patients under 30 years of age. Furthermore, multiple myeloma with coexistent megaloblastic and iron deficiency anaemia is very uncommon. Within 6 months we encountered 2 patients under 30 years of age who had multiple myeloma, one with advanced secondary amyloidosis and the other with severe megaloblastic and iron deficiency anaemia.
30岁以下的患者通常不考虑多发性骨髓瘤(显性浆细胞发育异常)的诊断。此外,合并巨幼细胞贫血和缺铁性贫血的多发性骨髓瘤非常罕见。在6个月内,我们遇到了2例30岁以下患有多发性骨髓瘤的患者,其中1例伴有晚期继发性淀粉样变性,另1例伴有严重的巨幼细胞贫血和缺铁性贫血。