Journal d'hématologie et des maladies thromboemboliques
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Early Onset Multiple Myeloma in a 24 Year-Old Female Revealed by Severe Anemia: A Case Report

Hacen Merich1,2, Adel Gouri1,3*, Khaoula Bennouikes1,2, Frais Aouadi1,2, Assia Deridi1,2, Habiba Mahnaoui1,4, Fatiha Griffi1,4, Siham Aliguechi1,4, Nacima Sabiha Gadiri1,5

Only 10% of people diagnosed with multiple myeloma are under 50, and 2% of people are under the age of 40. Here we present the case of a 24-year-old female admitted to the hospital for recurrent genital infections, severe anemia and a normal phosphocalcique balance. The myelogram studies revealed normochromic normocytic non-regenerative anemia, as well as a 12% marrow infiltration by abnormal plasma cells. Immunological analysis by immunofixation revealed a homogeneous band in the gamma-globulin zone. After the 5th chemotherapy cycle, the 6-month follow-up assessment showed complete remission.