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• W4379031548 abstract "A 41-year-old man presented with nonspecific complaints of nausea, vomiting, and generalized fatigue for 2 months. He had renal dysfunction and severe anemia, for which he underwent acute peritoneal dialysis and four packed red blood cell transfusions at another hospital. Sampling his blood for laboratory evaluation was difficult as the sample would repeatedly clot before the machine could assess the same. It was found that the patient had hyperproteinemia, with hyperviscosity which was causing the same. Further evaluation revealed a monoclonal gammopathy, which was IgM predominant, and bone marrow evaluation revealed Waldenstrom’s macroglobulinemia (WM). Renal biopsy also showed light-chain cast nephropathy. The patient underwent three sessions of plasmapheresis and was initiated on chemotherapy and showed symptomatic and laboratory improvement. This case reveals renal involvement in WM, which is rare and highlights the difficulty faced in evaluating the plasma samples of the patient for laboratory investigations." @default.
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• W4379031548 date "2023-01-01" @default.
• W4379031548 modified "2023-10-05" @default.
• W4379031548 title "Blood is always thicker than water – A case of renal involvement in waldenstrom's macroglobulinemia" @default.
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• W4379031548 doi "https://doi.org/10.4103/ijkd.ijkd_15_23" @default.
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