Abstract
Multiple myeloma (MM) is a malignant, progressive and incurable neoplasm. Affects type B cells, with uncontrolled proliferation of plasmocytes as a characteristic. Prevalence is higher from the fifth decade of life in men and blacks with family history. It is a disease that despite treatment, affects quality of life and does not have a good prognosis. Most patients are symptomatic and bone pain is the most frequent symptom. Treatment is done with cranial and lumbar tomography showed lytic lesions. Protein electrophoresis was normal and myelogram showed 42% of plasmocytes, confirming the diagnosis of. Progressed with acute kidney injury treated at the hospital and was referred for treatment. chemotherapy depending on the staging. The patient studied was male, 32-year-old male patient, paired with 15 days of severe pain in the lumbar region, without relief with medication, associated with vomiting and weight loss. The diagnosis of multiple myeloma can be made in this patient by presenting plasmocytosis, hypercalcemia, acute kidney injury and anemia, as well as pains such as initial manifestation. Diverged from the literature, the patient's age, however, ethnicity and sex agree with the literature.