Korean J Gastrointest Endosc > Volume 27(2); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(2): 76-79.
십이지장을 침범한 Waldenström's Macroglobulinemia 1예
박재석·김지섭·김용욱·최 정·석지혜·박정호·배수찬·박승근·박희욱·김혜숙*
메리놀병원 내과, *해부병리과
A Case of Duodenal Involvement in Waldenström's Macroglobulinemia
Jae Suk Park, M.D., Ji Seup Kim, M.D., Yong Wuk Kim, M.D., Jung Choi, M.D., Ji Hye Seok, M.D., Jung Ho Park, M.D., Soo Chan Bae, M.D., Seung Keun Park, M.D., Ph.D., Hee Ug Park, M.D. and Hye Sook Kim, M.D.*
Departments of Internal Medicine and *Pathology, Maryknoll Hospital, Busan, Korea
Waldenström's macroglobulinemia is a disorder of malignant proliferation of plasmacytoid lymphocytes and monoclonal immunoglobulin M. However, the patients occasionally present with malabsorption and diarrhea due to deposition of extracellular periodic acid-Schiff positive homogenous eosinophilic, amorphorous, and proteinaceous materials in the villi and/or lamina propria of the duodenum. We report a 62-year-old man who, despite involvement of the duodenal mucosa, presented only with fatigue, dypnea on exertion, and anemia. Characteristic duodenoscopic and pathologic findings of this patient are described. (Korean J Gastrointest Endosc 2003;27:76⁣79)
Key Words: Waldenström's macroglobulinemia, Grayish white mucosa, Duodenum
주요어: Waldenström's macroglobulinemia, 백탁 점막, 십이지장
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