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Management of Primary WARM AIHA
Some important points:- PRBC transfusion in Primary Warm AIHA is done only if: HB < 5 g/dl or there is life threatening anemia at presentation. Clinical judgment is most critical at a hemoglobin level of 5 to 8 g/dL. At this range of hemoglobin, many patients with AIHA should be transfused unless close observation indicates…
Waldenstrom’s Macroglobulinaemia Management – October 2021
Some Salient Points:- Asymptomatic WM cases don’t require emergent treatment and can be followed up. IgM MGUS cases associated with Peripheral Neuropathy (without fitting into WM/IgM MM criteria) require treatment provided other causes of neuropathy has been ruled out by thorough neurological examination and tests and neuropathy is attributable to IgM MGUS reasonably. The level…
Plasmablastic Lymphoma or Plasmablastic Myeloma ?
A 27 year old male presented with pain in the left scapular region x 1 months. On examination 2 x 2 cm left axillary node was noted. No hepatosplenomegaly and no other palpable peripheral nodes were seen. Relevant Blood parameters were as follows:- HAEMOGLOBIN Normal 13.2 PLATELETS High 452 WBC COUNT High 13.53 Serum Creatinine…
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