Abstract
Multiple Myeloma (MM) is a disease characterized by the increase of plasma cells in bone marrow or in other tissues and increased production of abnormal immunoglobulin (Ig) or Ig parts. In this report, we aimed to present a case of myeloma whom showed in our clinic with complaints of diarrhea, vomiting, fatigue and difficulty in walking. A 68- year-old male patient presented with diarrhea, fatigue, nausea, vomiting, and loss of appetite. He had splenomegaly in physical examination. Laboratory test revealed erythrocyte sedimentation rate: 4 mm/h and corrected calcium: 11.1 mg/dl. In conclusion, despite it is rare, multiple myeloma case may present with normal erythrocyte sedimentation rate and serum immunoglobulin levels. Anemia, bone lesions and hypercalcemia in an elderly may prompt diagnostic effort for multiple myeloma.
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