PMC5629880_01
(a) Dental indentations located on lateral surfaces of the tongue as the result of macroglossia (b) Petechiae on the antecubital fossa (pinch purpura)
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PMC5629880_01_JFMPC-6-146-g001.jpg
F1
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].
(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)
JFMPC-6-146-g002.jpg
PMC5629880_01_JFMPC-6-146-g002.jpg
F2
Subsequent bone marrow biopsy revealed an increased percentage (30%) of plasma cells [Figure 2].