Multiple Myeloma Mimicking Spondyloarthritis: a Case Report

作     者：Ai-chun Liu Yan-ying Liu Yan Li Li Zhang Zhan-guo Li 

作者机构：Department of Rheumatology and Immunology Peking University People's Hospital Department of Rheumatology and Immunology People's Hospital Xinyi 

出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)

年 卷 期：2014年第29卷第4期

页      面：245-247页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：multiple myeloma ankylosing spondylitis spondyloarthritis misdiagnosis 

摘      要：MULTIPLE myeloma （MM） is a hematologicmalignancy of differentiated plasma cells thataccumulate and proliferate in the bonemarrow. MM patients often develop bonedisease that results in severe bone pain, osteolytic lesions,and pathologic fractures,1 presenting with unexplainedbackache or bone pain in the long bones, ribs, skull, orpelvis.2 However, the low backache mimicking spondyloarthritisin MM is uncommon during clinical practice. Spondyloarthritis isa chronic systemic inflammatory disorder of the axialskeleton, mainly affecting the sacroiliac joint and spinecausing low backache.3 Here we report a patient with MMwhich was initially misdiagnosed and treated asspondyloarthritis.