Hyperviscosity syndrome with pulmonary involvement.
A 44-year-old male presented with dizziness, blurring of vision, unproductive cough, dyspnoea, heaviness of head, fever and hepatosplenomegaly along with reticulonodular infiltration in chest x-ray. His serum showed monoclonal IgM gammopathy. Peripheral blood smear, bone marrow examination and serum protein electrophoresis suggested it was a case of Waldenstrom's macroglobulinaemia. Chest x-ray and CT scan of thorax were suggestive of pulmonary involvement in the form of interstitial lung disease.
Kundu
Susmita
S
Department of Chest, NRS Medical College and Hospital, Kolkata 700014.
Dey
Atin
A
Sengupta
Amitabha
A
D000328:Adult; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000209:etiology*; D008297:Male; D008258:Waldenstrom Macroglobulinemia / Q000150:complications* / Q000175:diagnosis