Abstract
An 82-year-old patient with acquired von Willebrand's disease in association with a non-Hodgkin's lymphoma and a benign IgG-lambda monoclonal paraproteinemia is described with severe recurring nasopharyngeal bleedings, who responded poorly to desmopressin (DDAVP) and factor VIII/von Willebrand factor concentrates but was successfully treated with high-dose e intravenous gamma-globulin therapy.
MeSH terms
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Aged
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Aged, 80 and over
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Autoantibodies / immunology
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Autoimmune Diseases / etiology
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Autoimmune Diseases / therapy*
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Deamino Arginine Vasopressin / therapeutic use
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Factor VIII / therapeutic use
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Hemorrhage / etiology
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Hemorrhage / prevention & control
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Humans
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Immunoglobulin M / immunology
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Immunoglobulin lambda-Chains
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Immunoglobulins, Intravenous / therapeutic use*
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Lymphoma, B-Cell / complications
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Lymphoma, Non-Hodgkin / complications
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Male
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Monoclonal Gammopathy of Undetermined Significance / complications
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von Willebrand Diseases / etiology
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von Willebrand Diseases / therapy*
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von Willebrand Factor / immunology
Substances
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Autoantibodies
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Immunoglobulin M
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Immunoglobulin lambda-Chains
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Immunoglobulins, Intravenous
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von Willebrand Factor
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Factor VIII
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Deamino Arginine Vasopressin