Fissure like ulcer pt under medication for multiple myeloma

01 January 1970 1 8K Report

A 58 years old male reports to you with a fissure like ulcer on the elevated part of lingual ridge from the past 2 months. he further tells two episodes of whitish flakes coming out from the fissure. his medical records show that he is under medication for multiple myeloma for the past 8 months.

what is your likely diagnosis and how would you manage the case?

Muttuswamy Sivakumaran

Hi Bikash

The plaques could be amyloid (secondary to myeloma) deposits. You may want to biopsy them. If the suspicion is confirmed, ideally the patient should have a SAP scan. As to treatment, the choice would be a velcade based combination. (eg VCD).

Best wishes

Siva

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Science method

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