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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Main Authors: Mohammadreza Razzaghof, Shafieh Movassaghi, Mitra Abbasi-Fard, Fatemeh Shahbazi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2016-09-01
Series:Case Reports in Clinical Practice
Subjects:
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.
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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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