An 80-year-old male patient who presented weakness of lower limbs for 1 year that progresses to make walking impossible, pain in the lower back irradiated to both lower limbs and tingling paresthesias and cramps. He went to emergencies due to pain exacerbation, in paraclinical severe normochromic normocytic anemia was observed, with roleaux in peripheral blood smears, albumin globulin dissociation and elevated creatinine levels. it raises plasmatic cell dyscrasia and MO aspirate is performed.
The result ... better to see it!
Plasma cells in a patient with multiple myeloma.