Rentsch I, Gärtner U, Stocker W
MMW Munch Med Wochenschr. 1978 Nov 24;120(47):1567-70.
The symptomatology of typical paraproteinemic hemoblastoses (plasma cell myeloma, Wadenström's macroglobulinemia) are well known. Once suspected, diagnosis of these disorders can easily be established in the majority of cases. Differentiation of benign paraproteinemias requiring no treatment is likewise possible by careful observation of the course of disease and relevant clinical criteria. Very seldom, cases of paraproteinemic hemoblastoses are seen which differ from the usual immunoelectrophoretic analysis and clinical picture. Two very unusual cases of paraproteinemia are presented.
典型的副蛋白血症性成血细胞病(浆细胞骨髓瘤、瓦尔登斯特伦巨球蛋白血症)的症状学是众所周知的。一旦怀疑,在大多数病例中很容易确诊这些疾病。通过仔细观察疾病进程和相关临床标准,同样可以鉴别出无需治疗的良性副蛋白血症。极少见的情况下,会出现与常规免疫电泳分析和临床表现不同的副蛋白血症性成血细胞病病例。本文介绍了两例非常罕见的副蛋白血症病例。