Document Type : Case Report

Authors

1 Assistant Professor of Rheumatology, Department of Adult Rheumatology, School of Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, tehran, iran.

2 Department of Adult Rheumatology, School of Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, tehran, iran

Abstract

Abstract
Multiple myeloma can have different clinical manifestations, and not all patients present with classic CRAB component. We describe a 53-year-old man referred to our hospital with a complaint of a Purpura/ Petechiae on lowerlimb and abdomen that was rapidly progressive and had multiple lytic lesions in the skull and spine and multiple fracture. We documented an increased presence of plasmacytes in bone marrow aspiration, and multiple lytic bone lesions, which led to a diagnosis of multiple myeloma. Although multiple myeloma presenting with Purpura/ Petechiae is uncommon, it must always be considered as a differential diagnosis with this clinical finding.

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