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CASE REPORT
An 80-year-old man presented to our outpatient clinic with purple and blue pigment spots on his fingers, hands, and face, particularly around his eyes. He was diagnosed with a smouldering IgG lambda multiple myeloma six years earlier, for which he was receiving follow-up care. Laboratory results showed IgG lambda values of 30 g/l, an isolated anaemia (haemoglobin 7.4 mmol/l) and normal coagulation values. Bone marrow biopsy and aspiration were repeated and demonstrated an increase in plasma cells.
WHAT IS THE DIAGNOSIS?
See page 91 for the answer to this photo quiz.
