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. 2024 Jul 25;14(1):124. doi: 10.1038/s41408-024-01107-6

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Abnormal expansion of malignant plasma cells in MM leads to immunoparesis, impaired immunity, and HG. Additional treatment and other comorbidities further impair other arms of the immune system and lead to increased infections. Initiation of IgG-RT can be considered to reduce severe bacterial infections.