Title: A Study of Clinical Profile and Biochemical Parameters in Multiple Myeloma

Authors: Dr Hanock Unni Samuel, Dr Abdul Majeed .K

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.133

Abstract

This study is to assess the clinical and biochemical profile of patients with multiple myeloma who presented to a tertiary health centre in northern kerala. This is a prospective observational study which started in January 2015 and was completed in December 2015. All patients more than 12years of age, diagnosed to have multiple myeloma as per the IMWG 2014 diagnostic criteria and who gave an informed consent were analysed in the study. A total of 65 patients were included who were evaluated using detailed clinical history, thorough clinical examination and relevant laboratory investigations including bone marrow study. The quality of life of the patients were assessed by the EORTC QLQ-C30 scoring system. The clinical profile of patients encountered in our setting is was studied, the average age of presentation of patients being 61.4±7.6 yrs and 95.38% belonged to poor socioeconomic status, male to female ratio of patients with multiple myeloma was  0.97:1.The quality of life of the patients was 0.59.The most common associations of multiple myeloma were anemia Hb<10mg/dl (69.2%), elevated ESR ≥100mm/hr (73.8%), elevated serum creatinine >2mg/dl (43.1%), low albumin levels <3.5g/dl (70.8%). The most common type of immunoglobulin seen in multiple myeloma was IgG (75.4%) and bone marrow plasma cells between 20-29% was seen in a majority (46.2%) patients.

Keywords: Multiple myeloma; Clinicalprofile; Quality of life.

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Corresponding Author

Dr Hanock Unni Samuel

TC 32-1079, Mannil House, Ggra, Kanjirampara, Trivandrum-695030, Kerala,India

Phone No: 9400864173, 04712364173

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