Table 1 : demonstrates Immunoglobulin subtype evaluation
Considering the patient’s past history of breast cancer a PET Scan was performed to look for recurrence , the patient was injected by 11 microkuri of FDG18, and scanned after 1 hour in 3 dimension directions, the PET scan normal
A bone marrow biopsy showed interstitial and focal increase in plasma cells (15%) without bone marrow fibrosis in CD 138 staining.
On skeletal survey, there was diffuse osteopenia with osteoporotic changes in all the vertebrae without osteolytic fractures. The patient was diagnosed to have scleroderma coexisting with MM, and was treated with thalidomide (100 mg/day) and dexamethasone (20 mg/day weekly).The patient showed an improvement in skin thickening and increased range of movements after 6 months of therapy.