Case 91 – update 1

So our patient has been seen by haematology.

He initially presented with shoulder pain. Following X-ray and MRI this has been shown to be due to osteoarthritis with no evidence of lytic lesions.

Bone marrow had shown a normocellular marrow with 4% plasma cells

We have diagnosed our patient with IgA MGUS.

Questions:

  • How would you proceed?
  • What information would you tell the patient?

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