A close observation of the patient's liver function parameters revealed elevated total protein levels and albumin-globulin reversal, prompting a quest in line with MM. On the second day of admission, the patient developed new-onset altered sensorium, prompting an emergency CT scan of the brain; the scan revealed multiple lytic lesions in the skull (Figure 2), further strengthening our suspicion of MM. This evidence concerns the gene ALB and Miyoshi myopathy.