title: The tyranny of the anecdote: Waldenstrom's macroglobulinemia and scleritis.
abstract: A 49-year-old male developed a bilateral scleritis that eventually involved the optic nerve and was associated with cotton wool spots. Investigation of a markedly elevated erythrocyte sedimentation rate revealed a diagnosis of Waldenstrom's macroglobulinemia. Although it was plausible to believe that the two rare diseases were causally related, the scleritis resolved while the gammopathy progressed.
authors.affiliation: Casey Eye Institute, Oregon Health Sciences University, Portland, Oregon 97201, USA. rosenbaj@ohsu.edu
authors.forename: J T
authors.initials: JT
authors.lastname: Rosenbaum
authors.forename: M D
authors.initials: MD
authors.lastname: Becker
mesh_terms: D015415:Biomarkers / Q000097:blood; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000000981:diagnostic imaging / Q000473:pathology; D015423:Scleritis / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014463:Ultrasonography; D008258:Waldenstrom Macroglobulinemia / Q000097:blood / Q000150:complications* / Q000175:diagnosis
chemical_list: D015415:Biomarkers; D005938:Glucocorticoids; D007075:Immunoglobulin M; D007166:Immunosuppressive Agents