Question

A 68-year-old man presents with bone pain, normocytic anaemia and recurrent infections. Serum protein electrophoresis shows a monoclonal spike and urine is positive for Bence Jones proteins. Skeletal survey reveals lytic lesions. What is the most likely diagnosis?

Accepted Answer

Multiple myeloma

Answer

Chronic lymphocytic leukaemia

Answer

Iron deficiency anaemia

Answer

Waldenström macroglobulinaemia

Answer

Vitamin D deficiency

Practice question

A 68-year-old man presents with bone pain, normocytic anaemia and recurrent infections. Serum protein electrophoresis shows a monoclonal spike and urine is positive for Bence Jones proteins. Skeletal survey reveals lytic lesions. What is the most likely diagnosis?