Solitary plasmacytoma presenting as peripheral neuropathy: a case report.
We report a 26 year old woman presenting with a chronic predominantly motor radiculoneuropathy. A biopsy proven solitary lytic plasmacytoma was detected in the left sixth rib. Serum immunoelectrophoresis revealed 'M' band (IgG, l light chain). Excision of the plasmacytoma resulted in gradual but steady recovery. We suggest that all patients with 'cryptogenic' polyneuropathy be investigated for this potentially treatable condition. A high index of suspicion assists the organization of appropriate diagnostic investigations.
Mankodi
A K
AK
Department of Neurology, Grant Medical College and J.J. Group of Hospitals, Mumbai, 400008, India.
Rao
C V
CV
Katrak
S M
SM
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D010954:Plasmacytoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery
D007074:Immunoglobulin G