Members' NAVLE study guide

Canine Pancytopenia and Multiple Myeloma

3,330 words 14 min read 2 figures Reviewed November 7, 2026

Bone marrow disease in dogs usually shows up as one of two problems on the bloodwork: cytopenias that the marrow should be correcting but is not, or a protein abnormality made by a marrow-dwelling tumor. Pancytopenia (anemia, neutropenia and thrombocytopenia together) points to a marrow that is empty, overrun or failing to release cells; multiple myeloma is the classic plasma cell tumor that causes hyperglobulinemia, bone lysis and, sometimes, pancytopenia. Both are solved by the same two tools: a careful history and a bone marrow sample read alongside a same-day CBC.

Key facts

Bone marrow disease (pancytopenia, multiple myeloma) at a glance
  • Species and system: dogs; hemic/lymphatic (bone marrow, plasma cells).
  • Pancytopenia mechanisms: marrow aplasia or hypoplasia, ineffective hematopoiesis, infiltration (myelophthisis), or necrosis; a few extramarrow causes such as severe sepsis can mimic it.
  • Common causes in dogs: chemotherapy, chronic Ehrlichia canis infection, parvovirus, estrogen (exogenous or Sertoli cell tumor), idiosyncratic drug reactions, idiopathic aplastic anemia, leukemia, lymphoma, myeloma and histiocytic sarcoma.
  • Multiple myeloma: neoplastic plasma cells that home to the marrow and secrete one immunoglobulin (M-protein), usually IgA or IgG.
  • Classic myeloma picture: older dog with lethargy, PU/PD, hyperglobulinemia with a monoclonal spike, hypercalcemia, osteolytic lesions, bleeding or retinal changes from hyperviscosity.
  • Zoonotic/reportable: no. Marrow failure and myeloma are not infectious; ehrlichiosis spreads by ticks, and infected dogs are not a direct risk to people under normal circumstances.

What's inside

12 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Differential diagnoses
  7. Treatment and management
  8. Prevention, control and public health
  9. Prognosis
  10. Quick review
  11. Test yourself
  12. References
The full guide also has 5 tables, 2 figures, 3 self-test questions and 21 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Bone marrow disease (pancytopenia, multiple myeloma) on the NavleExam blog.

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