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本文报道15例多发性骨髓瘤之主要临床表现,导致临床误诊。如以骨髓破坏为主而长期误诊为骨关节炎症;以肾脏病变为主而误诊为各种肾病;以消化道出血为主而误诊为上消化道出血;以神经系统表现为主而误诊为肾炎和脊髓压迫症;以及以软组织肿物为主而误诊为恶性淋巴瘤等。作者并提出五种情况需考虑此病之可能性,并需作进一步的检查。
This article reports the main clinical manifestations of 15 cases of multiple myeloma, resulting in clinical misdiagnosis. Such as bone marrow damage and long-term misdiagnosed as osteoarthritis; mainly to kidney disease and misdiagnosed as a variety of kidney disease; mainly gastrointestinal bleeding misdiagnosed as upper gastrointestinal bleeding; mainly to the performance of the nervous system and misdiagnosed as nephritis And spinal cord compression; and soft tissue mass-based misdiagnosed as malignant lymphoma. The authors also propose five conditions to consider the possibility of the disease and need further examination.