Akademik Veri Yönetim Sistemi
XVII National Emergency Medicine Congress & 8th Intercontinental Emergency Medicine Congress & 8th International Critical Care and Emergency Medicine Congress, Antalya, Türkiye, 14 Ekim 2021
Dr. Abdullah Osman KOÇAK1
, Dr. Sultan Tuna AKGÖL GÜR1
1
Atatürk University Medical School Emergency Medicine Department
INTRODUCTION: Multiple myeloma is a malignant proliferation of plasma cells originating from a single clone. As a result of abnormal plasma cells invading the bone marrow; The characteristic clinical findings of myeloma appear, such as bone marrow failure, bone pains and pathological fractures, hypercalcemia, renal failure, signs of hyperviscosity, and susceptibility to
infection. According to the International Myeloma Working Group (IMWG), the diagnosis is hypercalcemia (> 11), anemia (Hb < 10), renal failure (creatinine > 2), with M protein in serum
and/or urine and clonal plasma cells in the marrow and/or documented plasmacytoma. ), bone disease (lytic lesions or osteopenia) is diagnosed with one of the findings.
CASE: A 31-year-old male patient was admitted to our emergency department with back pain. The patient’s long-standing back pain gradually increased, with no history of trauma. The
patient’s vitals were stable on arrival, and there was no obvious feature in the examination. His EKG and cardiac enzymes were normal. In the chest X-ray, the bones were found to be degenerative and age-inconsistent with osteopenic appearance, and there was no parenchymal pathology. Widespread degenerative and osteopenic appearance was observed in the thoracolumbar
tomography image taken due to the severity of the patient’s pain. Laboratory findings included anemia (Hb: 7.1), hypoalbuminemia (Alb: 2.1), and hypercalcemia (Ca: 14.1). In line with all
these findings, the patient was hospitalized in our hematology clinic with a preliminary diagnosis of multiple myeloma.
CONCLUSION: In the emergency room, in the light of laboratory and radiological findings in patients with chronic pain, diagnoses that are chronic, but not to be missed, can be made in
addition to acute events. Therefore, the importance of a multidisciplinary approach in the emergency department should be remembered.