[Waldenstrom's Macroglobulinemia in Cryptogenic Cirrhosis]
Govaresh. 2008; 13 (2): 113-115
em Persa
| IMEMR
| ID: emr-86487
ABSTRACT
The coexistence of Waldenstrom's macrglobulinemia and cryptogenic cirrhosis has been rarely reported.We describe a 72-year-old man with compensated cryptogenic cirrhosis whose major clinical presentation was hyperviscosity syndrome. Serum protein electrophoresis revealed the presence of an IgM-kappa spike. Lambda light chain was found in urine. Bone marrow biopsy was performed, which showed at least 22%infiltration with atypical plasma cells. No bone lesion was found. ByWaldenstrom'smacroglobulinemia diagnosis, patient treated with melphalan, thalidomide and dexamethasone. After three weeks of treatment, his symptoms disappeared and serum immunoglobuline M decreased below 1000 mg/dl
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Talidomida
/
Imunoglobulina M
/
Dexametasona
/
Cadeias kappa de Imunoglobulina
/
Cadeias lambda de Imunoglobulina
/
Cirrose Hepática
/
Melfalan
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Persa
Revista:
Govaresh
Ano de publicação:
2008
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