A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics

Multiple myeloma is a hematologic malignancy and a subtype of plasma cell dyscrasias, which accounts for 13% of all hematologic malignancies. It mainly affects older adults and is diagnosed in only 2% of the young population under the age of 40 years. This report presents a 33-year-old man diagnosed...

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Main Authors: Effat Iranijam, Somaieh Matin, Mohammad Negaresh
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.1177/11795476231157245
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author Effat Iranijam
Somaieh Matin
Mohammad Negaresh
author_facet Effat Iranijam
Somaieh Matin
Mohammad Negaresh
author_sort Effat Iranijam
collection DOAJ
description Multiple myeloma is a hematologic malignancy and a subtype of plasma cell dyscrasias, which accounts for 13% of all hematologic malignancies. It mainly affects older adults and is diagnosed in only 2% of the young population under the age of 40 years. This report presents a 33-year-old man diagnosed with Multiple myeloma with 4 poor prognostic specifications consisting of amplification of the 1q21, Translocation of t(4;14), deletion of the 6q21 and 13q14, along with decreased chromosome count to 44, X,-Y. Even though the combination of 4 poor prognostic cytogenetics in young patients is rare, he responded significantly to the Bortezomib regimen. He was selected as a candidate for bone marrow transplantation. The treatments get interrupted 2 days after the first session of the fifth cycle due to an undesirable COVID-19 infection. After 20 days, the symptoms return, and paraclinical findings show signs of MM relapse.
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spelling doaj.art-0c79bf25992d4737acbf3a173f726b432023-02-18T15:33:27ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762023-02-011610.1177/11795476231157245A case of a Young Multiple Myeloma Patient With Poor Prognostic CytogeneticsEffat Iranijam0Somaieh Matin1Mohammad Negaresh2Department of Internal Medicine (Hematology division), Ardabil University of Medical Sciences, Ardabil, IranDepartment of Internal Medicine (Gastroenterology division), Ardabil University of Medical Sciences, Ardabil, IranDepartment of Internal Medicine, Ardabil University of Medical Sciences, Ardabil, IranMultiple myeloma is a hematologic malignancy and a subtype of plasma cell dyscrasias, which accounts for 13% of all hematologic malignancies. It mainly affects older adults and is diagnosed in only 2% of the young population under the age of 40 years. This report presents a 33-year-old man diagnosed with Multiple myeloma with 4 poor prognostic specifications consisting of amplification of the 1q21, Translocation of t(4;14), deletion of the 6q21 and 13q14, along with decreased chromosome count to 44, X,-Y. Even though the combination of 4 poor prognostic cytogenetics in young patients is rare, he responded significantly to the Bortezomib regimen. He was selected as a candidate for bone marrow transplantation. The treatments get interrupted 2 days after the first session of the fifth cycle due to an undesirable COVID-19 infection. After 20 days, the symptoms return, and paraclinical findings show signs of MM relapse.https://doi.org/10.1177/11795476231157245
spellingShingle Effat Iranijam
Somaieh Matin
Mohammad Negaresh
A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
Clinical Medicine Insights: Case Reports
title A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
title_full A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
title_fullStr A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
title_full_unstemmed A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
title_short A case of a Young Multiple Myeloma Patient With Poor Prognostic Cytogenetics
title_sort case of a young multiple myeloma patient with poor prognostic cytogenetics
url https://doi.org/10.1177/11795476231157245
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