Hi, I am a 30 yrs old man. I got exposed to toxic chemical fumes (possible carcinogens) for 30min ~ 4 months ago. I developed (a) frontal headache in every morning and (b) pain on the right rib side in the lower half of the rib. Rib pain is mild and no improvement in 4 months. Morning headache improved after having amoxicilline for 10days but I still have mild pain in the forehead and temple area everyday. (c) Recently I started having numbness feeling in my right hand fingers. (d) Have had few drops of blood in the dry nasal mucus from right nostril few times, or trace of blood when I blow my nose sometimes.
Abnormal Blood work: High Igm (497 (Lab max. 230)), Elevated Gamma Globulin (1.7 (Lab max. 1.6) measured on Feb1, and 1.47 (Lab max. 1.33) measured on Feb11). Increased polyclonal immunoglobulins.
kappa appears increased (2.41 (Lab max. 1.94)), but lambda is w/in the range (1.94 (Lab max. 2.63), and kappa/ lambda is w/in range (1.24, (Lab max. 1.65)).
Normal Blood work: CBC, CMP, ESR, CRP, CK, Vit D, Vat B12,Diabetese, Hep. A/B/C, Complement 3 &4, Rhematoid factor, ANA, LACTATE DEHYDROGENASE, DNA AUTOABS DOUBLE STRANDED, SCLERODERMA ANTIBODY SCL 70, ENA ANTIBODIES (SM AND SM/RNP). All came normal
Eco, Lungs CT angio, Head CT and Head MRI, Rib Xray. They all came normal.
My immunologist was suspecting myloma as I am complaing rib wall pain, but my immunofixation result is polyclonal. He couldn't find anything wrong w/ liver or any auto-immune diseases to attribute my symptoms (Headache, rib-pain and the numbness feeling in my hand fingers). I am afraid if I may still have myloma, or is there any other infection/disease that can explain my symptoms? Any suggestion for any test, or what could be wrong w/ me would be heartly appreciated? I was very healthy since last 8 years and never had any health issues until this chemical inhalation. Thanks very much.