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■Detailed data
Sex male
Age 45-49
Misc 1995-1999
Chief Complaint Lumbago.
Past history Nothing in particular.
Present history He complained of lumbago and a bone-marrow aspiration revealed 20% phagocytes. X ray images revealed damage in the left ischium and the right thighbone and a bone scintigram revealed abnormal uptake in the torso.
splenohepatomegaly(not found), lymphadenopathy
(not found).
Laboratory findings WBC 4.4×10³/μl (no abnormal)
RBC 3.78×106/μl、Hb 13.1g/dl、
Ht 37.9%、PLT 23.0×104/μl
MCV 100.3fl、MCH 34.6pg、MCHC 34.6%、
NCC 2.6×104/μl、MgK 0/μl (plasma cell20%)、TP 8.5g/dl、Ca 10.2mg/dl、
urine protein(++)、IgG 687mg/dl、IgA 51mg/dl、IgM 22mg/dl、IgD 820mg/dl
pleural effusion 220mg/dl、BJ-protein(+)