A 45-year-old male patient presented with a history of gradually progressive generalized body pain, with severe pain in multiple joints of the body for past four months. He was advised to get investigated and given symptomatic treatment. The patient lost to follow-up. He was brought to the emergency of the hospital a month later, with a history of inability to move both lower limbs and the right upper limb for last five days. The patient was admitted and radiological examination was done (images attached) Hematological examinations His hematological examinations were within normal limits, except a hemoglobin level of 8.5 g/dl.
Serum urea, creatinine, sodium, and potassium were within normal limits. But serum calcium was elevated to a level of 14.9 mg/dl while serum phosphate was 2.4 mg/dl. His 24 hours urinary calcium was 1176. Bone marrow biopsy was also within normal limits. Serum…
