Abstract
Osteolytic defects and osteoporosis are common in myeloma, while sclerotic lesions of bone are rare. Eighteen patients with increased bone density have been described in the literature and five patients are presented in this report. Diffuse increase in skeletal density, similar to that seen in the myelofibrosis-myelosclerosis syndrome, occurred in two patients, and progressive multiple focal areas of sclerosis with splenomegaly in a third. Two patients had solitary areas of sclerosis. Although there was increased cortical and trabecular bone, osteoblastic activity was normal on histological sections. Whether the sclerosis was due to new bone formation or interference with bone resorptive processes could not be determined. Patients with polycythemia, myelofibrosis and myelosclerosis have been found to have, or later develop, myeloma. This has led to the suggestion that myeloma be included among the myeloproliferative disorders. At present the evidence for this interrelationship is the frequency of the association of these diseases.
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- AZAR H. A., HILL W. T., OSSERMAN E. F. Malignant lymphoma and lymphatic leukemia associated with myeloma-type serum proteins. Am J Med. 1957 Aug;23(2):239–249. doi: 10.1016/0002-9343(57)90197-3. [DOI] [PubMed] [Google Scholar]
- BECK J. S., NORDIN B. E. Histological assessment of osteoporosis by iliac crest biopsy. J Pathol Bacteriol. 1960 Oct;80:391–397. doi: 10.1002/path.1700800223. [DOI] [PubMed] [Google Scholar]
- BRODY J. I., BEIZER L. H., SCHWARTZ S. MULTIPLE MYELOMA AND THE MYELOPROLIFERATIVE SYNDROMES. Am J Med. 1964 Feb;36:315–319. doi: 10.1016/0002-9343(64)90094-4. [DOI] [PubMed] [Google Scholar]
- BURSTON J., PINNIGER J. L. The reticulin content of bone marrow in haematological disorders. Br J Haematol. 1963 Apr;9:172–184. doi: 10.1111/j.1365-2141.1963.tb05455.x. [DOI] [PubMed] [Google Scholar]
- COHEN P., GARDNER F. H. INDUCTION OF SUBACUTE SKELETAL FLUOROSIS IN A CASE OF MULTIPLE MYELOMA. N Engl J Med. 1964 Nov 26;271:1129–1133. doi: 10.1056/NEJM196411262712202. [DOI] [PubMed] [Google Scholar]
- ENGELS E. P., SMITH R. C., KRANTZ S. Bone sclerosis in multiple myeloma. Radiology. 1960 Aug;75:242–247. doi: 10.1148/75.2.242. [DOI] [PubMed] [Google Scholar]
- FAIRLEY G. H., JACKSON D. C., MCDONALD P. OSTEOSCLEROSIS IN MYELOMATOSIS. Br J Radiol. 1964 Nov;37:852–855. doi: 10.1259/0007-1285-37-443-852. [DOI] [PubMed] [Google Scholar]
- GIERTSEN J. C. Polycythaemia vera with multiple myeloma; report of a case. Acta Pathol Microbiol Scand. 1956;38(6):439–446. doi: 10.1111/j.1699-0463.1956.tb04663.x. [DOI] [PubMed] [Google Scholar]
- HEISER S., SCHWARTZMAN J. J. Variations in the roentgen appearance of the skeletal system in myeloma. Radiology. 1952 Feb;58(2):178–191. doi: 10.1148/58.2.178. [DOI] [PubMed] [Google Scholar]
- HODLER J. Uber das Vorkommen osteoplastischer Knochenveränderungen bei der Kahlerschen Krankheit. Schweiz Med Wochenschr. 1958 Oct 18;88(42):1065–1067. [PubMed] [Google Scholar]
- JOHANSEN H., VIDEBAEK A. Prognosis in eighty cases of multiple myeloma. Dan Med Bull. 1956 Sep;3(6):174–176. [PubMed] [Google Scholar]
- KENNY J. J., MOLONEY W. C. Long-term survival in multiple myeloma: report of three cases. Ann Intern Med. 1956 Nov;45(5):950–957. doi: 10.7326/0003-4819-45-5-950. [DOI] [PubMed] [Google Scholar]
- KOHLER L. M., LAUR A. Osteosklerose bei Plasmozytom. Bericht über einen Fall. Fortschr Geb Rontgenstr. 1950 Apr;72(6):714–717. [PubMed] [Google Scholar]
- KRAININ P., D'ANGIO C. J., SMELIN A. Multiple myeloma with new bone formation. Arch Intern Med (Chic) 1949 Dec;84(6):976-82, illust. doi: 10.1001/archinte.1949.00230060133010. [DOI] [PubMed] [Google Scholar]
- MARTIN N. H., SCULTHORPE H. The non-protein constituents of the plasma in myelomatosis. J Clin Pathol. 1958 Jul;11(4):330–333. doi: 10.1136/jcp.11.4.330. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ODELBERG-JOHNSON O. Osteosclerotic changes in my elomatosis: report of a case. Acta radiol. 1959 Aug;52:139–144. doi: 10.3109/00016925909171139. [DOI] [PubMed] [Google Scholar]
- OSSERMAN E. F. Natural history of multiple myeloma before radiological evidence of disease. Radiology. 1958 Aug;71(2):157–174. doi: 10.1148/71.2.157. [DOI] [PubMed] [Google Scholar]
- PORTER E. C. Osteogenesis in multiple myeloma. Report of a case. Radiology. 1961 Mar;76:457–458. doi: 10.1148/76.3.457. [DOI] [PubMed] [Google Scholar]
- SHARNOFF J. G., BELSKY H., MELTON J. Plasma cell leukemia or multiple myeloma with osteosclerosis. Am J Med. 1954 Oct;17(4):582–584. doi: 10.1016/0002-9343(54)90134-5. [DOI] [PubMed] [Google Scholar]
- VIDEBAEX A. Unusual cases of osteomyelosclerosis. Acta Med Scand. 1956 Feb 29;153(6):459–465. [PubMed] [Google Scholar]
- van LESSEN, GELLISSEN K. [Plasma cell reticulosis and osteosclerosis]. Z Krebsforsch. 1961;64:200–207. [PubMed] [Google Scholar]