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Cardiac amyloidosis secondary to waldenström macroglobulinemia / Amiloidosis cardiaca secundaria a macroglobulinemia de waldenström

Introduction: Waldenström's macroglobulinemia is a hematological neoplasm belonging to the group of monoclonal gammopathies, which includes systemic symptoms and those related to an increase in M paraprotein. Objective: To describe a case of cardiac amyloidosis associated with macroglobulinemia. Clinical case: Male patient who was admitted for asthenia, dysphonia, and who, during his evolution, developed progressive dyspnea, heart failure and pleural effusion. Additionally, echocardiography showed myocardial granular pattern, while pleural biopsy was positive for Congo red staining. Subsequently, he received treatment with bortezomib, dexamethasone and rituximab, with favorable evolution. Conclusions: In this disease, early diagnosis is an important advantage for survival. Therefore, its management is palliative of cardiac manifestations. The present case shows a diagnostic challenge, in which the less frequent etiologies of heart failure must be taken into account. / Revisión por pares

Identiferoai:union.ndltd.org:PERUUPC/oai:repositorioacademico.upc.edu.pe:10757/655705
Date01 January 2020
CreatorsLachira-Yparraguirre, Lizbeth, Al-kassab-Córdova, Ali, Quispe-Silvestre, Edgar, Enriquez-Vera, Daniel
PublisherEditorial Ciencias Medicas
Source SetsUniversidad Peruana de Ciencias Aplicadas (UPC)
LanguageSpanish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/article
Formatapplication/pdf
SourceUniversidad Peruana de Ciencias Aplicadas (UPC), Repositorio Academico - UPC, Revista Cubana de Hematologia, Inmunologia y Hemoterapia, 36, 3, 1, 11
Rightsinfo:eu-repo/semantics/openAccess, Attribution-NonCommercial-ShareAlike 4.0 International, http://creativecommons.org/licenses/by-nc-sa/4.0/
Relationhttp://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-02892020000300012#:~:text=La%20macroglobulinemia%20de%20Waldenstr%C3%B6m%20(MW,MO)%20y%20gammapat%C3%ADa%20monoclonal%20IgM.&text=La%20MW%20se%20caracteriza%20por,as%C3%AD%20como%20linfadenopat%C3%ADas%20y%20hepatoesplenomegalia.

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