Multiple Myeloma in a Young Adult

Abstract

Case: We present a 27-year-old man who presented with worsened back pain after a fall from a ladder. Unrelenting pain prompted the discovery through imaging and biopsy of a large pelvic plasmacytoma along with innumerable axial and appendicular lytic osseous lesions. The patient was soon thereafter diagnosed with light chain multiple myeloma (MM) and underwent measurable residual disease response-adapted consolidation treatment. Conclusion:The typical age at diagnosis for MM is 60 to 70 years. This case emphasizes the need to consider MM when diagnosing patients younger than 30 years, especially those with numerous bony lesions.Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, and patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted article. The contents of this publication are the sole responsibility of the author(s) and do not necessarily reflect the views, opinions, or policies of Uniformed Services University of the Health Sciences (USUHS), the Department of Defense (DoD), or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the US government.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C29).