IgD骨髓瘤少见国内报道不多,最近我院收治一例,现报道如下: 患者,高某,女性,40岁,已婚,汉族,江苏籍,住院号184627。1981年10月起全身明显乏力,食欲减退,腰痛并有功能障碍。外院X线摄片发现“第一腰椎病理性骨折”,血沉129mm/时,拟诊为“腰椎结核”,给雷米封及链霉素治疗,无效,因病情逐渐加重于1982年2月转来我院。既往无特殊病史。体检:神清合作,营养差,发育中等,头颅无畸形,左颈部及两侧腹股沟可触及0.5～1cm大小之淋巴结,质软,无压痛。颈软、气管正中,甲状腺不大,胸 IgD myeloma rare domestic reports, recently admitted to our hospital a case, are reported as follows: patients, high, a woman, 40 years old, married, Han nationality, hospital number 184627. October 1981 since the body was weak, Loss of appetite, back pain and dysfunction. Outside the hospital X-ray found “the first lumbar pathological fracture”, erythrocyte sedimentation rate 129mm / h, to be diagnosed as “lumbar tuberculosis” to leimi and streptomycin treatment, ineffective, due to illness gradually aggravated in February 1982 Come to our hospital. No special medical history. Physical examination: Shenqing cooperation, poor nutrition, medium development, head deformity, the left neck and both sides of the groin can reach 0.5 ~ 1cm size of the lymph nodes, soft, no tenderness. Neck soft, tracheal median, thyroid is not, chest