[mtoi]

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

 

[dr.valium]

B. Waldenstrom's Macroglubulinemia must be the answer.

 

[khanar]

The abnormal electrophoresis gave the answer and it's undoubtedly Waldenstrom

 

[mtoi]

ans - waldenstrom's macroglobulinemia - an IgM monoclonal spike must have been present

 

[hana]

Even if there was no talk of protein abnormality, hyperviscosity is a point leading us to the answer.