Pain, presumably related to a previous injury, was the patient's main concern, but
in fact, she had a serious complication of an as yet undiagnosed disease. A 49-year-old
woman presented to the emergency department with persistent chest pain and new back
pain. Three months earlier, she had a mechanical fall from standing height that resulted
in fractures of her left seventh, eighth, and ninth ribs. Left-sided chest pain persisted,
and she developed nontraumatic lower back pain that progressed in severity, prompting
her to seek care.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hyperviscosity syndrome in plasma cell dyscrasias.Semin Thromb Hemost. 2003; 29: 467-471
- Images in clinical medicine: hyperviscosity-related retinopathy in Waldenström's macroglobulinemia.N Engl J Med. 2016; 374: 73
- Distribution of blood viscosity values and biochemical correlates in healthy adults.Clin Chem. 1996; 42: 1189-1195
- Hyperviscosity syndrome: efficacy and comparison of plasma exchange by plasma separation and cascade filtration in patients with immunocytoma of Waldenström's type.Clin Nephrol. 1995; 43: 335-338
Article info
Publication history
Published online: March 22, 2018
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: Both authors had access to the data and played a role in writing this manuscript.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
