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Waldenström's macroglobulinemia as a diagnostic challenge: case report.
[waldenström macroglobulinemia]
Waldenström
's
macroglobulinemia
is
a
distinct
clinicopathologic
entity
defined
as
a
B-
cell
neoplasm
characterized
by
lymphoplasmacytic
infiltrate
in
the
bone
marrow
,
with
an
associated
immunoglobulin
(
Ig
)
M
paraprotein
.
Clinical
manifestations
are
due
to
deposition
of
IgM
in
the
liver
,
spleen
,
and
/
or
lymph
nodes
,
so
it
presents
with
anemia
,
hyperviscosity
,
lymphadenopathy
,
hepatomegaly
,
splenomegaly
and
neurologic
symptoms
.
The
main
diagnostic
criteria
are
a
typical
peak
on
serum
protein
electrophoresis
and
malignant
cells
in
bone
marrow
biopsy
samples
.
There
is
no
standard
therapy
for
the
treatment
of
symptomatic
Waldenstrom
's
macroglobulinemia
and
no
agents
have
been
specifically
approved
for
this
disease
,
but
initial
treatment
usually
starts
with
the
monoclonal
anti-
CD
2
0
antibody
rituximab
,
either
alone
or
in
combination
with
other
agents
,
rather
than
chemotherapy
alone
.
This
article
confirms
that
,
despite
the
existence
of
more
modern
imaging
methods
,
ultrasonography
still
has
a
significant
diagnostic
role
.
Diseases
Validation
Diseases presenting
"hepatomegaly"
symptom
carcinoma of the gallbladder
congenital toxoplasmosis
cutaneous mastocytosis
lamellar ichthyosis
neonatal adrenoleukodystrophy
scrub typhus
typhoid
waldenström macroglobulinemia
zellweger syndrome
This symptom has already been validated