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Gut 54:1376 doi:10.1136/gut.2004.057976
  • Miscellaneous

The lighter side of myeloma: an easily overlooked diagnosis

  1. J J Feld1,
  2. M Guindi2,
  3. E J Heathcote3
  1. 1Department of Gastroenterology, University of Toronto, Toronto, Ontario, Canada
  2. 2Department of Pathology, University of Toronto, Toronto, Ontario, Canada
  3. 3Department of Gastroenterology, University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to:
    Dr J J Feld
    Liver Disease Section, NIDDK, NIH, 10 Center Dr Rm 9B16, MSC 1800, Bethesda, MD 20892, USA; feldjniddk.nih.gov

    Clinical presentation

    A previously healthy 61 year old man developed back pain, fatigue, and anaemia. IgG κ multiple myeloma was diagnosed and the patient was treated with vincristine, adriamycin, and dexamethasone. He tolerated chemotherapy well but began complaining of pruritus after …

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