Case 6-2002

Abstract

Figure 3. Skeletal Survey Showing Diffuse Osteopenia of the Bony Structures. In the skull (Panel A), there are numerous, discrete lytic foci that are fairly regular in size and shape. Additional lytic foci are present in the humerus and femur (Panel B, arrows) and in the pubic ramus (Panel C, next page) bilaterally.Figure 2. Results of Urinary Protein Electrophoresis. A high-concentration band (arrow) and a low-concentration band (arrowhead) in the gamma region are Bence-Jones protein and an IgG lambda M component, respectively. A B The New England Journal of Medicine Downloaded from nejm.org at STOCKHOLMS UNIVERSTITETSBIBL on August 11, 2015. For personal use only. No other uses without permission.