[Petechiae, microhematuria, colic-like abdominal pain].
A 46-year-old patient was referred because of recurring bouts of abdominal colics, petechiae and an accompanying nephropathy. The clinical setting pointed towards a cryoglobulinemia, proved by serum cryoprecipitation and electrophoresis and classified as type II. The primary disease was a low-grade non-Hodgkin lymphoma involving bone-marrow and liver. A renal biopsy showed a proliferative glomerulonephritis. Treatment with prednisone and chlorambucil led to improvement of renal function, and the patient became asymptomatic.
Weber
B
B
Medizinische Abteilung, Regionalspital Langenthal, Universität Basel.
Mihatsch
M J
MJ
Streuli
R A
RA
D003085:Colic / Q000209:etiology; D003449:Cryoglobulinemia / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D015432:Glomerulonephritis, Membranoproliferative / Q000150:complications / Q000175:diagnosis*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011693:Purpura / Q000209:etiology
Petechien, Mikrohämaturie, kolikartige Abdominalschmerzen.