Case 3-1990: A 66-year-old woman with waldenström's macroglobulinemia, diarrhea, anemia, and persistent gastrointestinal bleeding

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, William F. Mcneely, Betty U. Mcneely, Philip C. Amrein, Carolyn C. Compton

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Presentation of Case A 66-year-old woman was admitted to the hospital because of Waldenström's macroglobulinemia, with severe weakness, diarrhea, and gastrointestinal bleeding. There was a long history of abuse of tobacco and alcohol. The patient was otherwise in a stable state of health until two months before admission, when fatigue, myalgia, arthralgia, and a low-grade fever developed, with occasional night sweats. Diarrhea, weakness, and peripheral edema soon appeared, and she was admitted to another hospital. Physical examination showed splenomegaly without hepatomegaly; there was prominent peripheral edema. The hematocrit was 26 percent; the mean corpuscular volume (MCV) was 114 μm3 per.

Original languageEnglish (US)
Pages (from-to)183-192
Number of pages10
JournalNew England Journal of Medicine
Volume322
Issue number3
DOIs
StatePublished - Jan 18 1990
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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