A CASE REPORT OF MULTIPLE MYELOMA IN A YOUNG MALE WITH ATYPICAL PRESENTATION

Srikanth Sakhamuri*, Anand Prasad, Saurabh Singhal, Kanishk Rana, Rudraksh Raheja, Apoorv Sharma and Karman Benipal

ABSTRACT

Multiple myeloma, characterized by the abnormal proliferation of malignant plasma cells in the bone marrow, typically manifests with symptoms such as bone pain, anemia, and renal insufficiency. However, its clinical presentation can vary widely, and atypical symptoms can present diagnostic challenges. We present a case of a 45-year-old male with chest pain radiating to the back for six months and right lower limb cellulitis, initially suspected to be cardiovascular in origin. Further investigations revealed an unexpected underlying etiology of multiple myeloma, underscoring the importance of considering unusual presentations in the diagnostic evaluation of hematological malignancies. The patient showed significant improvement with appropriate management, emphasizing the importance of early recognition and tailored treatment strategies in such cases.

Keywords: MM (MULTIPLE MYELOMA), PIGN (POST INFECTIOUS GLOMERULONEPHRITIS), CXR (CHEST XRAY), BMBX (BONE MARROW BIOPSY), SPEP (SERUM PLASMA PROTIEN ELECTROPHORESIS), UPEP (URINE PROTIEN ELECTROPHORESIS), SFLC(FLOW CYTOMETRY).