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==History and Symptoms==
==History and Symptoms==
Relevant history includes:
Relevant history includes:
*Review of past medical history for other [[plasma cell]] diseases, hematologic malignancies, or underlying renal disease
*Review of past medical history for other [[plasma cell]] diseases, hematologic malignancies, underlying renal disease, and germline mutations within the family
*Review of family history for members with positive history of hematologic malignancies
*Review of family history for members with positive history of hematologic malignancies
*Review of occupational history related to farming, oil industry, or Agent Orange exposure
*Review of occupational history related to farming, oil industry, or Agent Orange exposure

Revision as of 22:06, 19 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2] Shyam Patel [3]

Overview

The most common symptoms of multiple myeloma include bone pain, pallor, and fatigue.[1][2][3] However, the presenting symptoms of multiple myeloma may vary greatly due to involvement of many organ systems. The common symptoms of multiple myeloma can be remembered by the mnemonic CRAB - C = Calcium (elevated), R = Renal failure, A = Anemia, B = Bone lesions.[4][2][3]

History and Symptoms

Relevant history includes:

  • Review of past medical history for other plasma cell diseases, hematologic malignancies, underlying renal disease, and germline mutations within the family
  • Review of family history for members with positive history of hematologic malignancies
  • Review of occupational history related to farming, oil industry, or Agent Orange exposure

History includes character, location, onset, and duration of pain. Symptoms of multiple myeloma include:[1][2][3][5][6][7]

  • Usually involves the spine and ribs (axial skeleton), and worsens with activity
  • Persistent localized pain may indicate a pathological bone fracture
  • Neurological symptoms
  • Bone marrow failure-related symptoms
  • Easy bruising, nosebleeds, bleeding gums due to thrombocytopenia
  • Fatigue, weakness, shortness of breath, dizziness and paleness due to anemia
  • Recurrent infections due to [[leukopenia].
  • Lower limb edema due to renal involvement

References

  1. 1.0 1.1 Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015
  2. 2.0 2.1 2.2 Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015
  3. 3.0 3.1 3.2 Multiple myeloma. Cancer. gov(2015) http://www.cancer.gov/types/myeloma Accessed on September, 20th 2015
  4. International Myeloma Working Group. Criteria for the classification of monoclonal gammopathies, multiple myeloma and related disorders: a report of the International Myeloma Working Group. Br J Haematol 2003;121:749-57. PMID 12780789.
  5. Reisenbuckler C (2014). "Multiple myeloma and diagnostic imaging". Radiol Technol. 85 (4): 391–410, quiz 411–3. PMID 24614435.
  6. Sergentanis TN, Zagouri F, Tsilimidos G, Tsagianni A, Tseliou M, Dimopoulos MA, Psaltopoulou T (October 2015). "Risk Factors for Multiple Myeloma: A Systematic Review of Meta-Analyses". Clin Lymphoma Myeloma Leuk. 15 (10): 563–77.e1–3. doi:10.1016/j.clml.2015.06.003. PMID 26294217.
  7. Eslick R, Talaulikar D (October 2013). "Multiple myeloma: from diagnosis to treatment". Aust Fam Physician. 42 (10): 684–8. PMID 24130968.


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