How would you treat a 63-year-old male with 3-month history of bone pain, together with high ESR and anemia found prior to his admission to hospital?
Past medical history: type-II insulin-dependent diabetes (diagnosed 6 years before).
No relevant findings
WBC 5.6 x 109/L
Hb 9.9 g/dL
Platelet count 267 x 109/L
ESR very high
IgG: 19.5 g/L
IgA: 0.53 g/L
IgM: 0.1 g/L
Kappa/lambda: 29/0.65
Urea and creatinine within the normal range
C-reactive protein: 0.6 mg/dL
b2-microglobulin: 2.1 mg/dL
BJ proteinuria: positive.
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Last updated on Wednesday 20 February 2008.