Publication Name	World Journal of Diabetes
Manuscript ID	121606
Country	China

Category	Endocrinology & Metabolism
Manuscript Type	Case Report
Article Title	Clinical mismatches leading to the misdiagnosis of multiple myeloma as diabetic nephropathy: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Gui-Zhi Li, Jia-Yin Liu, Hui-Yao Hao and Hong Zhou
Funding Agency and Grant Number
Corresponding Author	Hong Zhou, Chief Physician, MD, Professor, Department of Endocrinology, The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Shijiazhuang 050000, Hebei Province, China. zhoubs2013@hebmu.edu.cn
Key Words	Type 2 diabetes; Multiple myeloma; Diabetic nephropathy; Anemia; Non-diabetic renal disease; Clinical Mismatch; Case report
Core Tip	This case report highlights the diagnostic pitfalls of diabetic nephropathy and identifies three key clinical mismatches—anemia-renal mismatch, protein-albumin gap, and volume-hypertension mismatch—as critical red flags for suspecting multiple myeloma in patients with diabetes. In this patient with a 12-year history of type 2 diabetes, the presence of severe anemia disproportionate to renal impairment, massive total proteinuria with a low urinary albumin-to-creatinine ratio, and the absence of hypertension or edema served as vital clues for identifying non-diabetic renal disease.
Citation	Li GZ, Liu JY, Hao HY, Zhou H. Clinical mismatches leading to the misdiagnosis of multiple myeloma as diabetic nephropathy: A case report. World J Diabetes 2026; In press

Received	2026-03-30 00:36
Peer-Review Started	2026-03-31 06:29
First Decision by Editorial Office Director	2026-04-13 09:17
Return for Revision	2026-04-13 09:17
Revised	2026-04-29 16:49
Publication Fee Transferred
Second Decision by Editor	2026-05-15 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-22 07:11
Articles in Press	2026-05-22 07:11
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
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