Myeloma Case Studies

A 64-year-old man presented to the emergency unit complaining of increasing shortness of breath for about 6 months. He reported an insidious onset of dyspnoea on exertion which has progressively worsened to dyspnoea at rest. There was associated orthopnoea and paroxysmal nocturnal dyspnoea. He reported having palpitations, poor appetite, swelling of both legs and a nocturnal cough productive of frothy sputum. He had no history of chest pain, syncope, dizziness, fever and night sweats. He was a known multiple myeloma patient in