RESUMO
We report a 53-year-old male with demyelinating polyneuropathy due to a paraneo- plastic syndrome from lymphoplasmacytic lymphoma. This syndrome is an immune-mediated event via plasma cell dyscrasia. The patient suffered near quadriplegia requiring prolonged ventilation. He was treatedwith systemic therapyforhis malignancy, as well as immunemodulating therapy with a recovery near his baseline. We propose it is important to not only control malignant plasma cell dyscrasia, but also target peripheral antibodies carrying out the attack in order to prevent further damage to the nervous system.
Assuntos
Polineuropatia Paraneoplásica/etiologia , Macroglobulinemia de Waldenstrom/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Polineuropatia Paraneoplásica/diagnóstico , Polineuropatia Paraneoplásica/terapiaAssuntos
Dor Abdominal/etiologia , Enfisema/diagnóstico , Enfisema/patologia , Febre/etiologia , Gastrite/diagnóstico , Gastrite/patologia , Estômago/patologia , Adulto , Complicações do Diabetes , Enfisema/complicações , Gastrite/complicações , Humanos , Masculino , Microscopia , Osteomielite/complicações , Radiografia Abdominal , Tomografia Computadorizada por Raios XRESUMO
It is important to obtain coagulation tests to assess bleeding risk in trauma patients undergoing emergency surgery when a bleeding disorder may be obscured. Identifying specific clotting factor defects is critical in successful patient management.