16 August 2022>: Articles
Osteolytic Lesion of the Maxilla in an Undiagnosed Multiple Myeloma Patient Identified Incidentally by Cone Beam Computed Tomography
Unusual clinical course, Challenging differential diagnosis, Rare disease
Sarah AlFarabi Ali E* , Hanadi M. Khalifa A , Amr Bayoumi A , Soulafa AlMazrooa A , Nada O. bin Madi D , Sara Akeel E , Amal M. Sindi DDOI: 10.12659/AJCR.936585
Am J Case Rep 2022; 23:e936585
Table 1. Laboratory investigations at the time of initial diagnosis.
Test name | Patient result | Reference range |
---|---|---|
WBCs | 16.66 | 4.5–11.5 K/µl |
RBCs | 4 | 4–5.4 K/µL |
Hemoglobin | 10.7 | 12.0–15.0 g/dL |
Hematocrit | 34.2 | 35–49% |
MCV | 85.3 | 80–94 fL |
MCH | 26.7 | 32–36 pg |
MCHC | 31.3 | 32–36% |
Platelets | 480 | 150–450 K/µL |
Albumin | 23 | 40.2–47.6 g/L |
Total protein | 81 | 64–82 g/L |
CRP | 3.2 | 0–3 mg/L |
ESR | 28 | 1–20 mm/H |
Immunoglobulin-G | 11.4 | 5.4–16.1 g/L |
Immunoglobulin-A | 1.7 | 0.8–2.80 g/L |
Immunoglobulin-M | 0.26 | 0.5–1.9 g/L |
Kappa | 1.77 | 1.7–3.7 g/L |
Lambda | 0.99 | 0.9–2.1 g/L |
B2-Microglobulin | 7.9 | 0.7–1.8 mg/L |
Aspartate aminotransferase | 8 | 15–37 U/L |
Alanine aminotransferase | 19 | 12–78 U/L |
Gamma-glutamyl transferase | 3 | 5–85 U/L |
Bilirubin | 3 | 0–17 µmol/L |
Lactate dehydrogenase | 154 | 100–240 U/L |
WBCs – white blood cells; RBCs – red blood cells; MCV – mean corpuscular volume; MCH – mean corpuscular hemoglobin; MCHC – mean corpuscular hemoglobin concentration; CRP – C-reactive protein; ESR – erythrocyte sedimentation rate. |