case_images: PMC5629880_01
case_images: (a) Dental indentations located on lateral surfaces of the tongue as the result of macroglossia (b) Petechiae on the antecubital fossa (pinch purpura)
case_images: JFMPC-6-146-g001.jpg
case_images: PMC5629880_01_JFMPC-6-146-g001.jpg
case_images: F1
case_images: Her physical examination revealed an enlarged tongue with teeth indentation marks on both lateral borders [Figure 1]. Her arms were covered with numerous erythematous macules with a diameter of 1 mm [Figure 1].
case_images: (a) Plasma cells in the bone marrow (H and E, x400) (b) bone marrow (Congo red, x100) (c) plasma cells in the bone marrow (CD138, x100)
case_images: JFMPC-6-146-g002.jpg
case_images: PMC5629880_01_JFMPC-6-146-g002.jpg
case_images: F2
case_images: Subsequent bone marrow biopsy revealed an increased percentage (30%) of plasma cells [Figure 2].