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TYPE 1 CRYOGLOBULINAEMIA ASSOCIATED WITH A THYMIC TUMOUR: SUCCESSFUL TREATMENT WITH PLASMA EXCHANGE
Authors:ATHANASSIOU  P; IOAKIMIDIS  D; WESTON  J; GEORGANAS  K; KONTOMERKOS  T; DAVIES  K A
Institution:*Rheumatology Unit, Department of Medicine
{ddagger}Department of Rheumatology, General Hospital of Athens Greece
{dagger}Department of Histopathology, Royal Postgraduate Medical School, Hammersmith Hospital London
Abstract:Thymic tumours are associated with a wide range of autoimmuneand haematological disorders, notably myasthenia gravis, redcell aplasia, and systemic lupus erythematosus. An associationwith cryoglobulinaemia has only once been reported previously.In this report we describe a 60-yr-old male patient with a spindlecell thymoma, treated surgically, who also had type 1 cryoglobulinaemia,with severe peripheral circulatory impairment with digital ulcerationand a mononeutitis multiplex. The patient has been successfullytreated with prednisolone, immunosuppression and plasma exchange. KEY WORDS: Cryoglobulinaemia, Thymoma, Plasma exchange, Immunosuppression, Tumour, Corticosteroids
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