Hyperviscosity Syndrome Provoking Heart Failure in a Patient with Waldenström macroglobinemia

MOJ Clin Med Case Rep 2017, 6(6): 00180 We present a 75-year-old woman with no medical follow up for several years who developed progressively worsening shortness of breath with associated orthopnea and weight loss over the past year. Additionally, she reported leg heaviness, abdominal distention, subjective fevers, dry cough and a poor appetite. She denied any drenching night sweats. Her past medical history was notable solely for chronic anemia and alcohol dependence. She had not been taking any medications prior to admission. Her family history was significant for a mother with anemia. The patient was an active smoker, with a 35-40 pack-year smoking history.