[Case of fulminant mixed cryoglobulinemia developing after atrial myxoma resection].
Nihon Rinsho Meneki Gakkai Kaishi
; 24(4): 168-74, 2001 Aug.
Article
em Ja
| MEDLINE
| ID: mdl-16578968
ABSTRACT
A 63-year-old man, with a 13-year history of asymptomatic proteinuria, was diagnosed with left atrial myxoma at the onset of heart failure. After resection of the tumor by hypothermal surgery, the patient developed fever, renal failure and skin rash. The diagnosis was type II mixed cryoglobulinemia accompanied by an IgMlambda clone with high titers of rheumatoid factor activity and polyclonal IgG. Treatment with high doses of steroids and plasmapheresis was ineffective, and the patient died of colon necrosis due to thrombotic occlusion in the supra-mesenteric arteries. Although the patient had suffered from sporadic Raynaud's phenomenon and purpura of the lower extremities from the age of 60 years, cryoglobulinemia was not suspected before surgery because of the atrial myxoma. Thus, we suggest that it is important to perform laboratory tests for cryoproteins before hypothermal surgery.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Crioglobulinemia
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Neoplasias Cardíacas
/
Mixoma
Limite:
Humans
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Male
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Middle aged
Idioma:
Ja
Revista:
Nihon Rinsho Meneki Gakkai Kaishi
Assunto da revista:
ALERGIA E IMUNOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article