Table 1.

Myeloma-related organ or tissue impairment.

CriterionDiagnostic Parameters
Hypercalcemia Serum calcium > 0.25 mmol/L above the upper limit of normal, or > 2.75 mmol/L (> 11.0 mg/dL) 
Renal insufficiency Creatinine >173 mmol/L (> 1.9 mg/dL) 
Anemia Hemoglobin 2 g/dL below the lower limit of normal, or hemoglobin <10 g/dL 
Bony lesions Lytic bony lesions, or osteoporosis with compression fractures (possibly requiring magnetic resonance or computed tomography as part of the evaluation) 
Other associated findings Symptomatic hyperviscosity, amyloidosis, recurring bacterial infections (> 2 episodes in 12 months) 
CriterionDiagnostic Parameters
Hypercalcemia Serum calcium > 0.25 mmol/L above the upper limit of normal, or > 2.75 mmol/L (> 11.0 mg/dL) 
Renal insufficiency Creatinine >173 mmol/L (> 1.9 mg/dL) 
Anemia Hemoglobin 2 g/dL below the lower limit of normal, or hemoglobin <10 g/dL 
Bony lesions Lytic bony lesions, or osteoporosis with compression fractures (possibly requiring magnetic resonance or computed tomography as part of the evaluation) 
Other associated findings Symptomatic hyperviscosity, amyloidosis, recurring bacterial infections (> 2 episodes in 12 months) 
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