Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report
A 38-year-old man came to outpatient clinic complaining of a new-onset pain of his right buttock which has caused him to limp. Since six months ago, the pain had involved in order his cervical spine, ribs, sternum andthoracic spine, and left them deformed. He also had constitutional symptoms and sig...
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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2016-09-01
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Series: | Case Reports in Clinical Practice |
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Online Access: | https://crcp.tums.ac.ir/index.php/crcp/article/view/18 |
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author | Mohammadreza Razzaghof Shafieh Movassaghi Mitra Abbasi-Fard Fatemeh Shahbazi |
author_facet | Mohammadreza Razzaghof Shafieh Movassaghi Mitra Abbasi-Fard Fatemeh Shahbazi |
author_sort | Mohammadreza Razzaghof |
collection | DOAJ |
description | A 38-year-old man came to outpatient clinic complaining of a new-onset pain of his right buttock which has caused him to limp. Since six months ago, the pain had involved in order his cervical spine, ribs, sternum andthoracic spine, and left them deformed. He also had constitutional symptoms and significant weight loss. On physical examination, there was a limited chest expansion, positive Schober’s test, and multiple tender bony bumps along the ribs, costosternal and costochondral junctions. Lab tests showed anemia, elevated ESR, normal level of serum calcium, and creatinine, and 1+ protein in U/A. Serum protein electrophoresis was unexceptional. The imaging of the patient changed the diagnostic path. This article describes a deceptive visage of multiple myeloma presenting itself in the clothing of ankylosing spondylitis. |
first_indexed | 2024-12-16T07:24:32Z |
format | Article |
id | doaj.art-ee9bb26f41c643bf897132ecee37f9a5 |
institution | Directory Open Access Journal |
issn | 2538-2683 2538-2691 |
language | English |
last_indexed | 2024-12-16T07:24:32Z |
publishDate | 2016-09-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Case Reports in Clinical Practice |
spelling | doaj.art-ee9bb26f41c643bf897132ecee37f9a52022-12-21T22:39:33ZengTehran University of Medical SciencesCase Reports in Clinical Practice2538-26832538-26912016-09-0112Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case ReportMohammadreza Razzaghof0Shafieh Movassaghi1Mitra Abbasi-Fard2Fatemeh Shahbazi3Medical Student, Department of Rheumatology, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, IranAssociate Professor, Department of Rheumatology, Vali-Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Internal Medicine, Ali-ibn Abi Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, IranAssistant Professor, Department of Biology, Payame Noor University, Tehran, IranA 38-year-old man came to outpatient clinic complaining of a new-onset pain of his right buttock which has caused him to limp. Since six months ago, the pain had involved in order his cervical spine, ribs, sternum andthoracic spine, and left them deformed. He also had constitutional symptoms and significant weight loss. On physical examination, there was a limited chest expansion, positive Schober’s test, and multiple tender bony bumps along the ribs, costosternal and costochondral junctions. Lab tests showed anemia, elevated ESR, normal level of serum calcium, and creatinine, and 1+ protein in U/A. Serum protein electrophoresis was unexceptional. The imaging of the patient changed the diagnostic path. This article describes a deceptive visage of multiple myeloma presenting itself in the clothing of ankylosing spondylitis.https://crcp.tums.ac.ir/index.php/crcp/article/view/18Multiple MyelomaAnkylosing Spondylitisbone painoligosecretory myeloma |
spellingShingle | Mohammadreza Razzaghof Shafieh Movassaghi Mitra Abbasi-Fard Fatemeh Shahbazi Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report Case Reports in Clinical Practice Multiple Myeloma Ankylosing Spondylitis bone pain oligosecretory myeloma |
title | Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report |
title_full | Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report |
title_fullStr | Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report |
title_full_unstemmed | Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report |
title_short | Ankylosing Spondylitis as a Deceptive Visage of Multiple Myeloma: A Case Report |
title_sort | ankylosing spondylitis as a deceptive visage of multiple myeloma a case report |
topic | Multiple Myeloma Ankylosing Spondylitis bone pain oligosecretory myeloma |
url | https://crcp.tums.ac.ir/index.php/crcp/article/view/18 |
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