Relapse of Multiple Myeloma after Autologous Stem Cell Transplant Presenting with CNS Involvement without Evidence of Bone Marrow Involvement

In October 2015, a 58-year-old male was presented to Hematology, Oncology and Stem Cell Transplantation Research Center; Tehran University of Medical Sciences, Tehran, Iran, with complaints of bone pain and decreased urine volume about 2 months prior to admission. Initial laboratory findings demonstrated a normocytic, normochromic anemia with a hemoglobin of 8.2 g/dL, a white blood cell count (WBC) of 6,500 cell/mm3, and a platelets count of 245,000/mm. He had a creatinine of 4.2 mg/dL, calcium of 12.5 mg/dL, albumin of 3.7 g/dL, total protein of 11.7 g/dL, Beta-2 microglobulin of 13.8mg/L, and an erythrocyte sedimentation rate (ESR) of 135 mm/hr.
Source: Clinical Lymphoma, Myeloma and Leukemia - Category: Hematology Authors: Source Type: research