临床误诊误治2017，Vol.30Issue(7)：25-27,3.DOI:10.3969/j.issn.1002-3429.2017.07.008
以头晕为主要表现的多发性骨髓瘤确诊启示
Diagnosis of Multiple Myeloma with Dizziness as the Main Manifestation
摘要
Abstract
Objective To strengthen understanding for clinical features of multiple myeloma (MM) in order to investigate correct thinking for patients with dizziness.Methods Clinical data of 1 MM patient with dizziness as the main performance was retrospectively analyzed.Results A 60 year-old male patient was admitted for shortness of breath, dizziness and fatigue after discontinuous activity for 1 year and aggravation associated by nausea for 1 day.The patient visited in orthopaedic department 1 week ago for left shoulder pain, and thoracic vertebrae magnetic resonance imaging MRI showed space occupying lesion from the 7th cervical vertebrae to the 2nd thoracic vertebrae of inside and outside intervertebral foramen.The patient visited in emergency department for dizziness and nausea aggravation 1 day ago.Blood routine examination showed severe anemia, but the serum couldn't be centrifuged from blood samples for biochemical examination, and then increasing M protein was considered.Bone marrow biopsy showed that plasma cells system was paraplasm, and percentage of myeloma cell was 68.5%, and then MM was confirmed 14 hours after admission.Conclusion Patients with shortness of breath, dizziness, fatigue, anemia and chronic bone pain in special parts should highly suspected as having MM when serum precipitation was difficulty in blood samples, and bone marrow puncture can quickly confirm diagnosis.关键词
多发性骨髓瘤/M蛋白/误诊Key words
Multiple myeloma/M protein/Misdiagnosis分类
医药卫生引用本文复制引用
单凯,赵彬彬,牛驰,郭伟..以头晕为主要表现的多发性骨髓瘤确诊启示[J].临床误诊误治,2017,30(7):25-27,3.基金项目
北京市卫生系统高层次卫生技术人才培养计划(2014-3-031) （2014-3-031）
