Yaşlılarda Nadir Görülen Multipl Miyelom Olgusu: İmmunglobulin D Multipl Miyelom

Abstract

Immunoglobulin D multiple myeloma (IgD-MM) is a rare type in myelomas. Characteristic findings are diagnosable at advanced stage and agressive behaviour. Patients are usually male and under 65 years old. We aimed to present a geriatric IgD-MM case which has only fatigue and widespread body pain. 67 years old, male patient admitted to our clinic with widespread body pain, fatigue. Bicytopenia, elevated erythrocyte sedimantation rate and immun paralysis found at blood analyses. A band which has no match at lambda column was found at serum immunoelectrophoresis. IgD Lambda paraproteinemia was detected in serum immunoelectrophoresis for IgD and IgE. Patient diagnosed as Ig D Lambda Myeloma with rised numbers of plasma cells in bone marrow biopsy, strongly positive staining at IgD Lambda chains in immunohystochemical stain. IgD-MM can be ommited because of oligo/non-secretory presentation. So we have to consider rare types of multiple myeloma at differential diagnoses.