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Figure 1. A 65-year-old man had an 18-month history of slowly progressive swelling and discoloration of both ears, fatigue, night sweats, weight loss, occipital headaches, and photophobia. On examination, his ears were swollen and purplish and had several small cysts that were neither warm nor tender. The skin of his nose, cheeks, upper lip, and chin was also thickened and discolored (Panel A). He had diffuse peripheral lymphadenopathy. Funduscopy demonstrated tortuous arterioles, distended prominent veins bilaterally with diminished pulsations, and retinal hemorrhages. Serum immunoelectrophoresis revealed a monoclonal IgM spike with an IgM level of 7.7 g per liter and . . . [Full Text of this Article] |
A correction has been published: N Engl J Med 2001;344(20):1564.
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