Bradshaws Test: A Surreal Test For Multiple Myeloma

Abstract

Multiple myeloma is characterized by neoplastic proliferation of a single clone of plasma cells in bone marrow.In asymptomatic patient, multiple myeloma is most likely to be identified through laboratory abnormalities such as hypercalcemia, anemia or proteinuria. Patients may present with non specific symptoms such as nausea, vomiting, malaise, weakness, recurrent infections or Weight loss. Symptoms of bone disease (for example pain from fracture or plasmacytoma, spinal cord compression, peripheral neuropathy or hyperviscosity (for example dyspnoea, transient is chemical attack, retinal haemorrhage, deep venous thrombosis can occur). Anemia is present in nearly all patients with multiple myeloma at some point in the disease¹ .

Herein I present a case of 48 year old female patient who presented with complaints of low back ache for the past 2 months.

Biochemical investigation revealed normocytic normochromic anemia, hyperglobulinemia, raised ESR. Bradshaws test was done and it turned out positive. On electrophoresis, diagnosis of Multiple myeloma was obtained.