Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 8 2016 8 30 Bell's Palsy as the Initial Presentation of Multiple Myeloma: A Case Report 261 262 EN Qiaofang Chen Vince Lombardi Cancer Clinic, Aurora Cancer Care, Aurora Health Care Sheboygan, Wisconsin Carol Huibregtse Cheruppolil R. Santhosh-Kumar AJMCR2016483 10.12691/ajmcr-4-8-3 2016 5 3 2016 8 4 2016 8 28 A 54-year-old white woman presented to the emergency department with inability to smile, difficulty in closing her right eye and drooling when attempting to drink liquids for two days prior to presentation. Neurological examination revealed classic signs of right peripheral seventh cranial nerve paresis. The patient also complained of fatigue, general malaise and weight loss of 20 pounds during the past few weeks.