DeBiasio C, Cyr J, Petkiewicz S, Glassman SJ. Hypergammaglobulinemic purpura of Waldenström-Unusual and impressive case in a patient with myeloma: A case report.
SAGE Open Med Case Rep 2022;
10:2050313X221086321. [PMID:
35341104 PMCID:
PMC8943611 DOI:
10.1177/2050313x221086321]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background:
Hypergammaglobulinemic purpura of Waldenström is an uncommon disease, which
presents mostly in women on the lower extremities. It is sometimes
associated with underlying immune dysregulation. Sjögren syndrome is the
most common association; however, rare occurrences of the self-resolving
syndrome with lymphoma or myeloma have been reported.
Case Summary:
We describe an unusual and impressive presentation of hypergammaglobulinemic
purpura of Waldenström in an elderly female patient with myeloma. Notably,
the patient did not have any concurrent connective tissue diseases. Despite
her florid presentation, her hypergammaglobulinemic purpura of Waldenström
spontaneously resolved within a few days.
Conclusion:
Hypergammaglobulinemic purpura of Waldenström is a self-resolving but
recurrent syndrome, which may be associated with autoimmune disorders or
rarely myeloma. Early diagnosis of the syndrome may avoid unnecessary
treatment interventions and should prompt screening for underlying
diseases.
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