Purpura hyperglobulinemica (Waldenstrom)

A case of hyperglobulinemic purpura of Waldenstrom with involvement of trunk and arms of 10 years duration has been presented. The patient had mild anemia, hepatosplenomegaly, positive rheumatoid factor and no evidence of immonological abnormalities associated for with systemic lupus erythematosus. A brief review of clinical manifestation and pathogenesis is cited.