多发性骨髓瘤中 IgD 型是一种少见的类型。本病至1975年,文献报道仅133例,而国内对该类病例报道亦仅为个例。本文报道一例轻链λ型多发性骨髓瘤如下:李××,男,48岁(住院号122421),于1976年12月6日入院。患者自1975年8月起经常感头晕、乏力。检查有白细胞减少,曾服用维生素 B_4利血生等药物,疗效欠佳。因左胸下部肋骨处疼痛,经骨髓穿刺发现浆细胞异常增生而入院。患者在1962年有黄疸型肝炎史。临床治愈后未复发。入院时体格检查:除肝脾轻度肿大外,余无其他阳性体征.X 线骨骼摄片:右侧髂翼及左髂骨粗隆处可见 IgD is a rare type in multiple myeloma. The disease to 1975, the literature reported only 133 cases, and domestic cases of such cases are only a case. This article reports a case of light chain λ multiple myeloma is as follows: Lee × ×, male, 48 years old (hospital number 122421), was admitted on December 6, 1976. Patients from August 1975 often feel dizzy and weak. Check leukopenia, who took vitamin B_4 reserpine and other drugs, poor efficacy. Due to pain in the lower left chest ribs, bone marrow puncture found abnormal plasma cells and admission. The patient had a history of jaundice hepatitis in 1962. No recurrence after clinical cure. Physical examination on admission: Except for mild splenomegaly of liver and spleen, no other positive signs. X-ray skeletal radiography: visible on the right iliac and left ilium