# Extended Follow-Up and Analysis of Non-secretory IgG-Type Multiple Myeloma in a Patient With Fibromyalgia: A Case Report

## TL;DR

A patient with fibromyalgia was later diagnosed with non-secretory multiple myeloma, emphasizing the need for careful monitoring and follow-up in such cases.

## Contribution

This case report highlights the importance of vigilance in diagnosing underlying conditions in fibromyalgia patients.

## Key findings

- A patient with fibromyalgia was found to have non-secretory multiple myeloma after two years.
- Elevated CRP and anemia prompted further investigation leading to the diagnosis.
- Regular monitoring is crucial for detecting hidden conditions in fibromyalgia patients.

## Abstract

Fibromyalgia (FM) presents a diagnostic challenge due to its complex symptoms and lack of definitive tests. This study discusses a 54-year-old female initially diagnosed with FM, characterized by widespread pain, fatigue, and tender points. Despite treatment, she developed elevated C-reactive protein (CRP) and anemia after two years, leading to further investigations. These tests revealed non-secretory multiple myeloma, underscoring the importance of vigilant monitoring in FM patients. This case highlights the need for regular CRP measurements and thorough follow-up to detect underlying conditions. Early detection and appropriate intervention are crucial in managing FM and improving patient outcomes.