FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 345:682-687 August 30, 2001 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Finkel, H. E. PubMed Citation

Presentation of Case

A 50-year-old man was admitted to the hospital because of marked splenomegaly and anemia.

The patient had been in good health until three months earlier, when he began to have progressive exertional dyspnea, aching in the legs, and pain in the left arm (without chest discomfort) after walking 8 to 10 m. The left side of the abdomen became "full," with increasing abdominal girth, and he had an attack of severe pain in the left flank. More recently, he had sensations of impending syncope, palpitations and dyspnea on minimal exertion, night sweats, diffuse headaches, difficulty concentrating, fatigue, and (on one . . . [Full Text of this Article]

Differential Diagnosis

Hematologic Disorders Causing Massive Splenomegaly and Anemia

            Polycythemia Vera

            Multiple Myeloma

            POEMS Syndrome

            Waldenström's Macroglobulinemia

Clinical Diagnosis

Dr. Noopur Raje's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References

This article has been cited by other articles:

• Finkel, H. E., Raje, N. (2002). Case 27-2001: Waldenstrom's Macroglobulinemia. NEJM 346: 784-784 [Full Text]