Polymyalgia and Myeloma

'Excellent remedy for post-maternity break 'nappy brain''

The BMJ's easily missed series is always thought provoking and worth a look. This week they remind us how easy it is to miss myeloma. Over half of cases take six months to be picked up by GPs and in a third it will be over a year.

The article makes a classic specialist error however. "When myeloma is suspected in a patient the baseline investigations should include..." it says, yet for us to consider a disease that effects 1 in 25,000 adults over 40 is not how it works.

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