Sunday, August 31, 2008

Beware of anemia in the elderly multiple myeloma

Anemia is a certain volume of red blood cells circulating in the blood, hemoglobin, or red blood cells than normal in terms of plot. There are many reasons for anemia, but basically just because of blood loss, excessive destruction of red blood cells and blood from the three non-performing. The elderly are the most common anemia iron deficiency anemia, giant red blood cell anemia David and many chronic diseases caused by anemia. However, people sometimes overlook some can cause anemia of chronic disease, multiple myeloma is one of them. Early because of pain similar to rheumatism, rheumatoid arthritis often misdiagnosed. Qu Ganbu visible because of osteoma, often misdiagnosed as bone tumor. Multiple myeloma in more common in the elderly, the plasma cell disease is a disease in is the result of plasma cell dysplasia caused by a vicious disease. Patients can happen pathological fracture, rib fractures more common in part, on the thoracic and lumbar spine, if the abnormal proliferation of plasma cells in bone marrow cells squeeze can function decline in bone marrow, red blood cells while reducing anemia, leukopenia vulnerable, platelet Easy to reduce bleeding, is also known as multiple myeloma clinical for the plasma cell leukemia, magma violations of soft tissue cells, can form local uplift, known as plasma cell tumors. At this time the patient showed irritability, more urine, constipation, because of high blood calcium, M protein in blood, blood viscosity is high and renal amyloidosis caused obstruction and kidney damage occurred, the patient may also occur retinal hemorrhage, peripheral neuritis , Congestive heart failure, and so on. As long as blood routine examination for the disease, can be found to reduce blood (red blood cells, platelets and reduced WBC), blood and malignant plasma cells in bone marrow (also known as myeloma cells), X-film visible chest rib fractures and other abnormalities. Diagnosis of the disease can be. At present, multiple myeloma use of systemic chemotherapy, localized tumor resection and systemic therapy and other support symptomatic treatment, as long as timely treatment, condition can be eased, but it is difficult to cure.