Waldenström's macroglobulinemia history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Waldenström's macroglobulinemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Waldenström's macroglobulinemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Bone Marrow Aspiration and Biopsy

Electrophoresis and Immunofixation

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Waldenström's macroglobulinemia history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Waldenström's macroglobulinemia history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Waldenström's macroglobulinemia history and symptoms

CDC on Waldenström's macroglobulinemia history and symptoms

Waldenström's macroglobulinemia history and symptoms in the news

Blogs on Waldenström's macroglobulinemia history and symptoms

Directions to Hospitals Treating Waldenström's macroglobulinemia

Risk calculators and risk factors for Waldenström's macroglobulinemia history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Overview

History and Symptoms

Asymptomatic or Smoldering:

Presents in 30% of patients with Waldenström's macroglobulinemia.[1]

Symptomatic:

Constitutional symptoms

  • Weight loss[1]
  • Fever
  • Night sweat
  • Lymphedema

Hyperviscosity syndrome

Accumulation of IgM proteins in blood can increase the viscosity of blood, slowing down the flow of blood to different organs. Symptoms of hyperviscosity include:[1]

  • Retinal hemorrhage with blurring of vision problem
  • Vertigo
  • Dizziness
  • Headache
  • Oronasal bleeding

Bone marrow infiltration

  • Anemia[2]
  • Pancytopenia


References:

  1. 1.0 1.1 1.2 Waldenström's macroglobulinemia symptoms and signs. Cancer.Net (2015)http://www.cancer.net/cancer-types/waldenstrom’s-macroglobulinemia/symptoms-and-signs Accessed on November 10, 2015
  2. Monge J, Braggio E, Ansell SM (2013). "Genetic factors and pathogenesis of Waldenström's macroglobulinemia". Curr Oncol Rep. 15 (5): 450–6. doi:10.1007/s11912-013-0331-7. PMC 3807757. PMID 23901022.

History and Symptoms

Patients with WM may present with various symptoms.[1]

  • Approximately 30% of the patients are asymptomatic (smoldering WM).
  • Anemia with mean hemoglobin less than 10 g/dL - fatigue
  • Bone marrow infiltration: cause anemia & pancytopenia
  • Extramedullary infiltration - hepatomegaly, splenomegaly, lymphadenopathy
  • Hyperviscosity - oronasal bleeding, retinal hemorrhage with blurring or loss of vision, headache, vertigo, ataxia
  • IgM monoclonal proteins - peripheral neuropathy

References

  1. Monge J, Braggio E, Ansell SM (2013). "Genetic factors and pathogenesis of Waldenström's macroglobulinemia". Curr Oncol Rep. 15 (5): 450–6. doi:10.1007/s11912-013-0331-7. PMC 3807757. PMID 23901022.

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