Advanced myeloma masquerading as chronic shoulder pain in a 48-year-old man: A diagnostic dilemma.

Title

Advanced myeloma masquerading as chronic shoulder pain in a 48-year-old man: A diagnostic dilemma.

Creator

Bhadra R; Nikova T; Somasundaram M; Ravakhah K

Publisher

BMJ Case Reports

Date

2020
2020-05

Description

Although solitary plasmacytomas may occasionally present as collar bone swellings or fractures, multiple myeloma involving clavicle is extremely rare. Ten to forty per cent of multiple myeloma cases are asymptomatic and are incidental diagnoses. Our case report describes an entirely benign presentation like chronic shoulder pain masquerading advanced myeloma, thereby posing a significant diagnostic dilemma. We present a 48-year-old man who presented with chronic bilateral shoulder pain with no history of trauma and was eventually diagnosed with advanced multiple myeloma and pathologic fracture of the right clavicle. It is, therefore, evident that a low threshold for suspicion can lead to early diagnosis and initiation of treatment and better survival.

Subject

cancer - see oncology; malignant disease and immunosuppression; monoclonal gammopathy of undetermined significance associated neuropathy; renal system

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

e231219

Issue

5

Volume

13

NEOMED College

NEOMED College of Medicine
NEOMED College of Medicine Student

NEOMED Department

Department of Internal Medicine
NEOMED Student Publications

Update Year & Number

July 2020 List

Affiliated Hospital

St Vincent Charity Medical Center

Citation

Bhadra R; Nikova T; Somasundaram M; Ravakhah K, “Advanced myeloma masquerading as chronic shoulder pain in a 48-year-old man: A diagnostic dilemma.,” NEOMED Bibliography Database, accessed March 29, 2024, https://neomed.omeka.net/items/show/11144.