Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0026764 (multiple myeloma)
36,148 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We present an unusual case of nasopharyngeal amyloidosis associated with multiple myeloma. A 63-year-old woman presented with 2 months' history of epistaxis and dentalgia 3 years after being diagnosed with multiple myeloma. CT and C-Pittsburgh compound B (PiB) PET images demonstrated that the intense C-PiB uptake corresponded to the nasal, paranasal, and palatal area matching the CT mass lesion. Histopathologic examination confirmed amyloidosis.
...
PMID:11C-PiB PET/CT in nasopharyngeal amyloidosis associated with multiple myeloma. 2514 May 65

Patients with plasma cell myeloma may initially present to their dentists or dental surgeons with toothache, loose teeth, or gingival masses. An X-ray of the jaw can reveal osteolyses. In addition, accumulation of monoclonal light chains in AL-amyloidosis can lead to macroglossia. It is prudent that the dentist or dental surgeon recognizes the underlying disease and refers the patient to the oncologist or hematologist for further workup to prevent the complications of plasma cell myeloma such as renal impairment, fractures, bone pain, infections, hypercalcemia, anemia, or heart failure. Another area where the dentist or dental surgeon is involved with patients suffering from plasma cell myeloma is prevention and therapy of osteonecrosis of the jaw, occurring after administration of bisphosphonates or denosumab for osteolytic bone disease. The case report presented here shows a patient complaining of toothache for whom recognition of a systemic disease by the dentist led to the diagnosis of plasma cell myeloma, highlighting the need for interdisciplinary cooperation. As recent years have seen many changes in the management of patients with plasma cell myeloma, an update for dentists and dental surgeons is warranted.
...
PMID:Toothache as the initial symptom of plasma cell myeloma. 3014 14