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Revista Med
versão impressa ISSN 0121-5256
Resumo
GOMEZ ALDANA, ANDRÉS JOSÉ; FERNANDEZ-AVILA, DANIEL G.; GUTIERREZ, JUAN MARTÍN e DIAZ, MARÍA CLAUDIA. ESSENTIAL CRYOGLOBULINEMIA AS A CAUSE OF ALVEOLAR HEMORRHAGE - CASE REPORT AND LITERATURE REVIEW. rev.fac.med [online]. 2015, vol.23, n.1, pp.77-81. ISSN 0121-5256. https://doi.org/10.18359/rmed.1332.
We report the case of a patient who is admitted by the presence of petechial lesions, arthralgia and an ulcer in lower limb. The presence of progressively increasing creatinine is documented while staying. Unanswered management with corticosteroid IV was instituted and there was an improvement with plasmapheresis. Later, the presence of impaired breathing pattern was notice, dyspnea combined with the presence of lung involvement in patches through chest tomography and evidence of alveolar hemorrhage. Autoimmune and infectious causes and hematological malignancies were dismissed. The presence of cryoglobulinemia was identified as the unique cause of such entity.
Palavras-chave : Cryoglubulins; alveolar hemorrhage; renal failure; dyspnea; autoimmunity.