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+--- Thread: treatment confusion - akm07 (/showthread.php?tid=534593)
treatment confusion - akm07 - ArchivalUser - 09-19-2010
how do we treat cold IgM hemolysis problem ( steroid-->splenectomy--> cyclophosphamide??)
and how we manage waldenstrom's hyperviscosity from high IgM (plasmapheresis?)
little confused pls put some input
0 - ArchivalUser - 09-19-2010
wald. is tx with plasmapheresis, and then u tx the underlying lymphoma.
0 - ArchivalUser - 09-19-2010
igm hemoly. is tx with steroids
0 - ArchivalUser - 09-19-2010
Mx of IgM hemolysis:
first avoid cold...............If fails, cyclosporine/cyclophosphamide/azathioprne
Can use Rituximab
steroid n splenectomy - as distruction is in liver..... never use in IgM ds
0 - ArchivalUser - 09-19-2010
not sure about waldenstrom's hyperviscosity Mx