@misc{10481/51724, year = {2017}, month = {12}, url = {http://hdl.handle.net/10481/51724}, abstract = {We present the clinical case of a 60 year-old woman who was admitted to our hospital referring a precordial pleuromechanic pain and was diagnosed with multiple bone fractures. A bone marrow biopsy gave the diagnosis of multiple myeloma and no monoclonal peak was detected, neither light chains in blood nor urine. The final diagnosis was non-secretory multiple myeloma and secondary spontaneous fractures. Non-secretory multiple myeloma represents only 3% of all multiple myelomas and has several characteristics that make it important to distinguish from other myelomas.}, abstract = {Presentamos el caso de una mujer de 60 años de edad que acudió a nuestro hospital por dolor precordial pleuromecánico y fue diagnosticada de fracturas óseas multiples. La biopsia de médula ósea dio el diagnóstico de mieloma multiple y no se detectó pico monoclonal, ni tampoco cadenas ligeras en sangre ni orina. El diagnóstico final fue de mieloma múltiple no secretor y fracturas espontáneas secundarias. El mieloma múltiple no secretor representa solo el 3% del total de mielomas múltiples y tiene características peculiares que hacen necesaria su distinction del resto de mielomas.}, publisher = {Real Academia de Medicina y Cirugía de Andalucía Oriental; Universidad de Granada}, keywords = {Multiple myeloma}, keywords = {Non-secretory multiple myeloma}, keywords = {Bone marrow biopsy}, keywords = {Mieloma múltiple}, keywords = {Mieloma múltiple no secretor}, keywords = {Biopsia de medula ósea}, title = {Non-secretory multiple myeloma presenting as pathological fractures: a diagnostic dilemma}, doi = {10.15568/am.2017.802.cc03}, author = {Guirao Arrabal, Emilio and Parra Montoya, María Francisca and González Oliveros, Jesús and Montes Ruiz-Cabello, María and Carrillo Alascio, Pedro Luis}, }