背景:胸腔积液,尤其是双侧血性胸腔积液,是Waldenström巨球蛋白血症(WM)的罕见并发症。WM患者的胸腔积液有很多原因,如感染,肿瘤侵入胸膜,以及胸导管或其分支的破裂。到呼吸科就诊并伴有胸闷和呼吸急促的WM患者需要呼吸内科医师进行更多的鉴别诊断。有助于有效治疗。在这里,我们介绍了一例双侧血性胸腔积液患者的MV诊断。
方法:我们的患者是一名59岁的男性,患有WM,表现为双侧血性胸腔积液。
方法:患者行胸腔积液引流。确诊后,患者接受了利妥昔单抗治疗,环磷酰胺,还有地塞米松.
结果:在这些治疗之后,病人的症状有所改善,超声显示胸腔积液减少。
结论:尽管预后良好,WM患者胸腔积液的病因诊断具有挑战性.诊断为WM的患者时,应将胸腔积液的原因视为鉴别诊断。
BACKGROUND: Pleural effusion, especially bilateral bloody pleural effusion, is a rare complication of Waldenström macroglobulinemia (WM). Pleural effusion in patients with WM has many causes, such as infection, tumor invasion of the pleura, and rupture of the thoracic duct or its branches. Patients with WM presenting to the respiratory department with chest tightness and shortness of breath need more differential diagnosis by respiratory physicians, which is helpful for effective treatment. Herein, we present a case of MV diagnosis in a patient with bilateral bloody pleural effusion.
METHODS: Our patient is a 59-year-old man with WM presenting as having bilateral bloody pleural effusion.
METHODS: The patient was treated with pleural effusion drainage. After confirming the diagnosis, the patient was treated with rituximab, cyclophosphamide, and dexamethasone.
RESULTS: Following these treatments, the patient\'s symptoms improved, and ultrasound showed a decrease in pleural effusion.
CONCLUSIONS: Despite its favorable prognosis, the cause of pleural effusion in a patient with WM can be challenging to diagnose. The cause of pleural effusion should be considered a differential diagnosis when diagnosing patients diagnosed with WM.