Evidence map›Paper›PMID 41694630›Full record

ArticleClinical case reports2026

The Art of Deception: Multiple Myeloma Imitating Spondyloarthritis-A Case Report.

Prabin Khatri, Aabishkar Subedi, Bishad Dahal, Gibson Shrestha, Mandish Phuyal, Raj Adhikari

Abstract read
In one paragraph

Article in Clinical case reports, 2026. 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
–field-weighted citation impact
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.

  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

6 authors.

Prabin KhatriDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.ORCID https://orcid.org/0000-0002-4220-6459
Aabishkar SubediDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.
Bishad DahalDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.
Gibson ShresthaDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.
Mandish PhuyalDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.ORCID https://orcid.org/0009-0004-9752-5141
Raj AdhikariDepartment of Rheumatology and Clinical Immunology Kathmandu Medical College Kathmandu Nepal.ORCID https://orcid.org/0009-0006-9999-7112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatic symptoms can be associated with malignancies. Although sacroiliitis is not a classic paraneoplastic syndrome, malignant infiltration of sacroiliac joints by multiple myeloma can mimic inflammatory rheumatologic disease. Multiple myeloma (MM), a plasma cell malignancy often presenting with bone pain, can involve axial skeletal structures, including the sacroiliac joints. We report a 40-year-old male with chronic low back pain and bilateral ankle enthesitis, unresponsive to nonsteroidal anti-inflammatory drugs (NSAIDs), along with systemic symptoms. Initial HLA-B27 positivity and imaging suggested Spondyloarthritis (SpA), but a poor treatment response prompted further evaluation. Serum protein electrophoresis, immunofixation, and bone marrow biopsy confirmed IgG-kappa MM. The coexistence of HLA-B27 positivity and sacroiliac joint changes mimicking axial spondyloarthritis poses a significant diagnostic pitfall, underscoring the need to consider multiple myeloma in patients with atypical features or a poor response to standard rheumatologic therapy.

Indexed as

HLA‐B27multiple myelomasacroiliitisspondyloarthritis

Identifiers

PMID41694630
PMCPMC12902700

What OpenQuestion holds

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Registered trials

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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.