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Updated: Jun 17, 2025

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
[Serum hyperviscosity syndrome: Update 2024].
Pierre-Edouard Debureaux1, Nathalie Parquet2, Anne C Brignier2
1Service immuno-hématologie, hôpital Saint Louis, Paris, France; Université Paris Cité, institut de recherche Saint-Louis, Inserm U1160, Paris, France.
Seric hyperviscosity syndrome, a medical emergency caused by high blood protein levels, presents with bleeding, vision, and neurological issues. Prompt diagnosis via fundoscopy and treatment with therapeutic plasma exchange are crucial.
Area of Science:
- Hematology
- Oncology
- Internal Medicine
Context:
- Seric hyperviscosity syndrome is a critical condition associated with hyperproteinemia.
- Clinical presentation includes mucosal hemorrhages, visual disturbances, and neurological deficits.
Purpose:
- To outline the diagnostic criteria and management strategies for seric hyperviscosity syndrome.
- To identify the common etiologies of this medical emergency.
Summary:
- Diagnosis relies on a triad of symptoms and is confirmed by fundoscopic examination.
- Therapeutic plasma exchange is the mainstay treatment for severe or confirmed cases.
- Waldenström's macroglobulinemia, multiple myeloma, and cryoglobulinemias are the primary underlying causes.
Impact:
- Highlights the urgency of diagnosis and intervention in hyperviscosity syndrome.
- Emphasizes the importance of identifying and treating the underlying plasma cell disorder.
- Provides a framework for managing this life-threatening hematological emergency.
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