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[Petechiae, microhematuria, colic-like abdominal pain]
B Weber1, M J Mihatsch, R A Streuli
1Medizinische Abteilung, Regionalspital Langenthal, Universität Basel.
Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|June 19, 1990
Abstract:
A 46-year-old patient was referred because of recurring bouts of abdominal colics, petechiae and an accompanying nephropathy. The clinical setting pointed towards a cryoglobulinemia, proved by serum cryoprecipitation and electrophoresis and classified as type II. The primary disease was a low-grade non-Hodgkin lymphoma involving bone-marrow and liver. A renal biopsy showed a proliferative glomerulonephritis. Treatment with prednisone and chlorambucil led to improvement of renal function, and the patient became asymptomatic.