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
Identifier
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
URL Address
Search for Full-text
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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.