Multiple myeloma - elbow

Case contributed by Dr Sam Kruger

Presentation

Elbow pain after a fall at the nursing home.

Patient Data

Age: 75 years
Gender: Female
X-ray

No elbow joint effusion or fracture seen. 

Innumerable relatively well-defined medullary lucencies are seen within the distal humeral shaft and proximal radius. There is endosteal scalloping without cortical destruction or periosteal reaction. 

Case Discussion

The typical differential diagnosis for lytic bone lesions in this age group include metastases, myeloma and lymphoma. This case was proven to be multiple myeloma.  

Take note that the presentation was trauma. Careful examination of the whole x-ray should be commonplace for the diagnostic radiologist.

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Case information

rID: 61961
Published: 26th Jul 2018
Last edited: 27th Jul 2018
System: Haematology
Inclusion in quiz mode: Included

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