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  #1  
Old 10-30-2010
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RBC Normocytic anemia and hepatosplenomegaly

A hodgkin
B waldenstrom’s macroglobulinemia
C burkitt’s lymphoma
D histiocytosis x
E sezary syndrome

Age 54 male
anemia normocytic
esr elevated
lymphadenopathy generalized
hepatosplenomegaly
hyperviscosity syndrome
serum protein electrophoresis abnormal
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  #2  
Old 10-30-2010
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B. Waldenstrom's Macroglubulinemia must be the answer.
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Old 10-30-2010
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The abnormal electrophoresis gave the answer and it's undoubtedly Waldenstrom
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Old 10-30-2010
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ans – waldenstrom’s macroglobulinemia – an IgM monoclonal spike must have been present
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Old 01-14-2011
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Even if there was no talk of protein abnormality, hyperviscosity is a point leading us to the answer.
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