Evidence map›Paper›PMID 32467114›Full record

ArticleBMJ case reports2020

Advanced myeloma masquerading as chronic shoulder pain in a 48-year-old man: a diagnostic dilemma.

Rajarshi Bhadra, Teodora Nikova, Meyappan Somasundaram, Keyvan Ravakhah

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Rajarshi BhadraInternal Medicine, St Vincent Charity Medical Center, Cleveland, Ohio, USA drrajarshibhadra@yahoo.in.ORCID http://orcid.org/0000-0002-5211-1285
Teodora NikovaInternal Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA.
Meyappan SomasundaramInternal Medicine, St Vincent Charity Medical Center, Cleveland, Ohio, USA.
Keyvan RavakhahInternal Medicine, St Vincent Charity Medical Center, Cleveland, Ohio, USA.
St. Vincent Charity Hospital · USNortheast Ohio Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although solitary plasmacytomas may occasionally present as collar bone swellings or fractures, multiple myeloma involving clavicle is extremely rare. Ten to forty per cent of multiple myeloma cases are asymptomatic and are incidental diagnoses. Our case report describes an entirely benign presentation like chronic shoulder pain masquerading advanced myeloma, thereby posing a significant diagnostic dilemma. We present a 48-year-old man who presented with chronic bilateral shoulder pain with no history of trauma and was eventually diagnosed with advanced multiple myeloma and pathologic fracture of the right clavicle. It is, therefore, evident that a low threshold for suspicion can lead to early diagnosis and initiation of treatment and better survival.

Indexed as

Antineoplastic AgentsBortezomibBrainClavicleDexamethasoneFractures, SpontaneousHumansMaleMiddle AgedMultiple MyelomaShoulder PainThoraxTomography, X-Ray ComputedAntineoplastic AgentsBortezomibDexamethasonecancer - see oncologymalignant disease and immunosuppressionmonoclonal gammopathy of undetermined significance associated neuropathyrenal system

Identifiers

PMID32467114
PMCPMC7259869
OpenAlexW3031678046

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.