Diagnóstico presuntivo de la macroglobulinemia de Waldenström / Presumptive diagnosis of the macroglobulinemia of Waldenström

RESUMEN

Se describe el caso clínico de un paciente de 60 años de edad, quien era atendido en su área de salud por presentar síntomas aparentemente banales y palidez cutaneomucosa. Las pruebas hemoquímicas y la hematimetría revelaron pancitopenia severa y proteinemia marcada, por lo cual se realizaron otros exámenes complementarios para comprobar la presencia de gammapatía monoclonal primaria o asociada a algún proceso neoplásico. Se halló macroglobulinemia primaria, de modo que se confirmó la existencia de la enfermedad de Waldenström.

ABSTRACT

The case report of a 60 year-old patient is described who was assisted in his health area for presenting apparently banal symptoms and mucocutaneous pallor. The hemochemical tests and the hematimetry revealed severe pancytopenia and marked proteinemia, reason why other complementary tests were carried out, to check the presence of primary monoclonal gammapathy or associated with some neoplasic process. Primary macroglobulinemia was found, so the existence of the disease of Waldenström was confirmed.