Habib G S, Stimmer M M, Quismorio F P
University of Southern California, Department of Medicine, Los Angeles, USA.
Lupus. 1995 Feb;4(1):19-22. doi: 10.1177/096120339500400105.
A patient with hyperglobulinemic purpura of Waldenstrom and systemic lupus erythematosus is reported. The coexistence of these two conditions which share a number of common clinical and laboratory features is rare. Treatment of the patient with prednisone, colchicine and hydroxychloroquine led to the improvement of the cutaneous vasculitis and a drop in ESR, serum gamma globulins and IgM and IgG rheumatoid factors. The features of nine other cases and the immunopathogenesis of the disease are reviewed.