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A 31-year-old female asked:

32 year old with lifelong hcv + a year of bone pain/discomfort (ribs, upper back, hips). cbc normal, low ferritin/iron. should i screen for myeloma?

2 doctor answers6 doctors weighed in
Dr. Ed Friedlander
Pathology 46 years experience
Not yet: You're young for myeloma and even in the unlikely event that you have it, there's little benefit to early diagnosis. Look for the cause of your iron loss instead -- a total-body lack of iron may make you feel ill long before it makes you anemic. Today, bone pain from vitamin d deficiency and/or diet-related osteomalacia is extremely common. Might this be the explanation? Stay proactive.
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Dr. Sewa Legha
Medical Oncology 52 years experience
No, not advisable: Myeloma is rare under the age of 40. Aches and pains are common and can be caused by any viral illness even the one like you already have. If there is one spot of bone that is progressively getting increasing pain, then one could justify an x-ray to look for the cause of bone pain. Myeloma screening will not be on my list to check you for at this time.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jan 13, 2014
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