Thirteen patients were seen in hematology clinic since November 2011 to now. The median age is 47.6 years, range from 40 to 87. The majority of the patients (61%) presented at the clinic at late stage with pathological fracture. One patient presented at the hospital with isolated thrombocytopenia and gum bleeding. The majority of patients present with a high disease burden with a plasma cell great than 30% in the bone marrow, with median of 31%. The plasma cells in the bone marrow range from 9% to 53%. Anemia is the hallmark of the disease with a hemoglobin of less than 9g/dl in the majority of patient. High level of serum calcium was not observed in our patients. Only 3 patient post bone marrow transplant are still alive. The rest of patients died in period of less than a year.
Conclusion
Myeloma present at very early age in our population compare to western data. Further researches should be done to determine risk factors in black population compare to the Caucasian population. Autologus stem cell transplantation improve the overall survival of myeloma patients, hence access to the therapy should be a topic of discussion in resource limited countries.