Waldenström's macroglobulinemia other diagnostic studies

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Waldenström's macroglobulinemia Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Roukoz A. Karam, M.D.[2]

Overview

Other diagnostic studies for [disease name] include nerve conduction tests, electromyography, funduscopy, and plasma viscosity.

Other Diagnostic Studies

Other diagnostic studies for Waldenström macroglobulinemia include:

  • Nerve conduction tests and electromyography, which demonstrates:[1]
  • Funduscopy, which demonstrates:[2]
    • Dilated, segmented, and tortuous retinal veins giving a "sausage link" appearance
      • Useful in patients with suspected hyperviscosity syndrome
  • Plasma viscosity, which demonstrates:[3]
    • Values > 1.5 centipoise
      • Should be measured in patients presenting with signs and symptoms suggestive of hyperviscosity syndrome or whenever the monoclonal IgM protein spike is > 4 g/dL.

References

  1. Nobile-Orazio E, Marmiroli P, Baldini L, Spagnol G, Barbieri S, Moggio M, Polli N, Polli E, Scarlato G (1987). "Peripheral neuropathy in macroglobulinemia: incidence and antigen-specificity of M proteins". Neurology. 37 (9): 1506–14. PMID 2442666.
  2. Castillo JJ, Garcia-Sanz R, Hatjiharissi E, Kyle RA, Leleu X, McMaster M; et al. (2016). "Recommendations for the diagnosis and initial evaluation of patients with Waldenström Macroglobulinaemia: A Task Force from the 8th International Workshop on Waldenström Macroglobulinaemia". Br J Haematol. 175 (1): 77–86. doi:10.1111/bjh.14196. PMC 5154335. PMID 27378193.
  3. Crawford J, Cox EB, Cohen HJ (1985). "Evaluation of hyperviscosity in monoclonal gammopathies". Am J Med. 79 (1): 13–22. PMID 4014299.

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