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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 D

DOI: 10.12659/AJCR.936585

Am J Case Rep 2022; 23:e936585

Table 1. Laboratory investigations at the time of initial diagnosis.

Test namePatient resultReference range
WBCs16.664.5–11.5 K/µl
RBCs44–5.4 K/µL
Hemoglobin10.712.0–15.0 g/dL
Hematocrit34.235–49%
MCV85.380–94 fL
MCH26.732–36 pg
MCHC31.332–36%
Platelets480150–450 K/µL
Albumin2340.2–47.6 g/L
Total protein8164–82 g/L
CRP3.20–3 mg/L
ESR281–20 mm/H
Immunoglobulin-G11.45.4–16.1 g/L
Immunoglobulin-A1.70.8–2.80 g/L
Immunoglobulin-M0.260.5–1.9 g/L
Kappa1.771.7–3.7 g/L
Lambda0.990.9–2.1 g/L
B2-Microglobulin7.90.7–1.8 mg/L
Aspartate aminotransferase815–37 U/L
Alanine aminotransferase1912–78 U/L
Gamma-glutamyl transferase35–85 U/L
Bilirubin30–17 µmol/L
Lactate dehydrogenase154100–240 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.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923