|  Volumen:    17     # Number : 2 Publication Date :    Mayo - Agosto    Year:    2013
 
                  
                    
                      |    ATENEO ANATOMO CLÍNICO DE LA RESIDENCIA |  
 Authors: Luján M, Zenatti A, Riva V, Guanchiale L,
Ricchi B, de Diller AB, Basquiera AL, García JJ Abstract: We describe the case of a 62-year-old man who presented cholestasis and nephrotic syndrome. Peripheral blood investigations revealed leukocytosis,
thrombocytosis, Howell-Jolly bodies and others morphologic abnormalities in red blood cells. Serum protein electrophoresis evidenced a monoclonal spike and the immunofixation study identified the spike as IgM kappa. We show images of the peripheral blood film and the pathological findings. �������������������� We also�discuss the IgM monoclonal gammopathies
differential diagnosis, and treatment. Key words: hyposplenism - IgM gammopathy - amyloidosis Pages : 198-205 |