49-year-old male with diplopía and hypoesthesis in the mandibular region

Authors

  • Alba García-Alabarce Internal Medicine Service, Hospital General Básico Santa Ana, Motril, Granada, Spain https://orcid.org/0009-0007-8088-449X
  • Sara López-García Internal Medicine Service, Hospital General Básico Santa Ana, Motril, Granada, España https://orcid.org/0000-0002-0676-1308
  • José Ramón Vizán-Caravaca Internal Medicine Service, Hospital General Básico Santa Ana, Motril, Granada, Spain https://orcid.org/0000-0003-2913-3512
  • José Miguel García-Castro Internal Medicine Service, Hospital General Básico Santa Ana, Motril, Granada, Spain
  • Marta Rivas-Luque Hematology and Haemotherapy Service, Hospital General Básico Santa Ana, Motril, Granada, Spain https://orcid.org/0000-0002-6438-3683

DOI:

https://doi.org/10.32818/reccmi.a8n1a16

Keywords:

diplopia, hypoesthesia, gammopathy, multiple myeloma

Abstract

This report presents the case of a 49-year-old patient that was admitted due to a neurological condition consisting of binocular diplopia and facial hypoesthesia on the right lip and chin. After a complete medical history and physical examination, follow-up tests in the ER suggested the diagnosis of multiple myeloma, as an osteolytic lesion in the right temporal bone was found on the CT scan, and the presence of hyperproteinemia and normocyctic anemia was found in the lab study.  During hospitalization, the subsequent investigations confirmed the initial hypothesis, supporting the diagnosis of multiple myeloma IgA-lambda. The standard treatment was met with a very good response.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Bienfang DC. Overview of diplopía. In: UpToDate, Brazis PW, Wilterdink JL (Ed), UpToDate, Waltham, MA, 2021. Accesible en: https://www-uptodate-com.bvsspa.idm.oclc.org/contents/overview-of-diplopia?search=Cranial%20neuropathy%20abducens%20nerve%20palsy&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2 (último acceso mar. 2023).

Robertson CE. Numb chin syndrome. In: UpToDate, Swanson J (Ed). UpToDate, Waltham, MA, 2023. Accesible en: https://www.uptodate.com/contents/numb-chin-syndrome (último acceso mar. 2023).

Navarro-Almenzar B, cabañas-Perianes V, Moreno-Belmonte MJ. Mieloma Múltiple. Medicine [Internet] 2020. 13(20): 1142-8. Accesible en: https://www.medicineonline.es/es-mieloma-multiple-articulo-S0304541220302705?referer=buscador (último acceso ene. 2022). DOI: https://doi.org/10.1016/j.med.2020.11.004

Tathineni P, Cancarevic I, Malik BH. Uncommon presentations of Multiple Myeloma. Cureus. 2020; 12(6): e8400. doi: https://doi.org/10.7759/cureus.8400 (último acceso mar. 2023). DOI: https://doi.org/10.7759/cureus.8400

Smith N, Kimberger K, Parrish C, Currie S, Butterworth S, Alty J. Multiple myeloma with multiple neurological presentations. Pract Neurol. 2019; 19(6): 511-517. doi: https://doi.org/10.1136/practneurol-2019-002205 (último acceso mar. 2023). DOI: https://doi.org/10.1136/practneurol-2019-002205

Hogan MC, Lee A, Solberg LA, Thomé SD. Unusual presentation of multiple myeloma with unilateral visual loss and numb chin syndrome in a young adult. Am J Hematol. 2002; 70(1): 55-9. Accesible en: https://pubmed.ncbi.nlm.nih.gov/11994983/ (último acceso mar. 2023). DOI: https://doi.org/10.1002/ajh.10077

Bal S, Giri S, Godby KN, Costa LJH. New regimens and directions in the management of newly diagnosed multiple myeloma. Am J Hematol. 2021; 96(3): 367–378. Accesible en: https://onlinelibrary.wiley.com/doi/full/10.1002/ajh.26080 (último acceso mar. 2023). DOI: https://doi.org/10.1002/ajh.26080

Published

2023-04-30

How to Cite

1.
García-Alabarce A, López-García S, Vizán-Caravaca JR, García-Castro JM, Rivas-Luque M. 49-year-old male with diplopía and hypoesthesis in the mandibular region. Rev Esp Casos Clin Med Intern [Internet]. 2023 Apr. 30 [cited 2024 Nov. 24];8(1):49-52. Available from: https://www.reccmi.com/RECCMI/article/view/781

Similar Articles

You may also start an advanced similarity search for this article.