Myeloma in real clinical practice

Multiple myeloma (MM) has a large number of nonspecific clinical manifestations, which also include manifestations from the bone system. MM is more common mainly in people over 50 years of age. In this age period, patients often seek medical help due to the development of degenerative-dystrophic changes in the musculoskeletal system (osteochondrosis), which can mask early clinical stigmata of MM. The prognosis for MM depends on the stage of the process at the time of diagnosis. Patients with stage I can live for many years without any treatment, while patients with stage III renal complications do not live long. Currently, advances in pharmacotherapy can improve patient survival. In this regard, the issue of early diagnosis of this condition comes to the fore. The proposed clinical observation considers the interpretation of individual clinical signs that allow MM to be suspected in patients with degenerative-dystrophic spinal disease. Thus, the clinical case we observed is interesting not only from the point of view of the importance of the clinical diagnosis, but also the timeliness of the start of treatment, which largely determines the prognosis of the disease.