Abstract

A 55-year-old man presented with multiple joint pains, low-grade fever for 6 months, and blackish discoloration over both feet, which aggravated on exposure to cold, for 2 months. On examination, he was found to have multiple digital gangrene of the lower extremities. On evaluation, he was diagnosed to have multiple myeloma with type 1 cryoglobulinemia. The case is reported to remind the readers to be aware of an underlying plasma cell disease in patients presenting with digital gangrene due to type 1 cryoglobulinemia, which if treated early has good prognosis.

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