Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
HERNANDEZ DIAZ, Daniel; LEMUS SARRACINO, Agustín; RIVERO GORT, Pedro M and HUMARAN RODRIGUEZ, Lizet. Osteosclerotic Myeloma- POEMS syndrome. Rev Ciencias Médicas [online]. 2005, vol.9, n.1, pp. 71-80. ISSN 1561-3194.
A 42 year old Caucasian female patient presented dermic hyperpigmentation in face, neck and upper thoracic part. Depression, occipital headache and weight loss were other presenting symptoms; some whitish spots appeared in those hyperpigmented zones producing itch and burning pain. Erytrosedimentation tests always had augmented level a marked erythrocyte aggregation and mild hepatomegaly were observed. Diagnosis was not concluded in two skin biopsies performed. The report of bone marrow biopsy was: interstitial infiltration by mature and immature plasmatic cells a marked osteosclerosis associated with osteosclerotic myeloma. While expecting for the results of this study an acute fevered syndrome and sweating and severe dyspnea appeared and the patient died.
Keywords : BLOOD SEDIMENTATION; OSTEOSCLEROTIC MYELOMA.