Evidence-based focused review of management of hyperviscosity syndrome.

@article{Stone2012EvidencebasedFR,
  title={Evidence-based focused review of management of hyperviscosity syndrome.},
  author={Marvin J. Stone and Steven A. Bogen},
  journal={Blood},
  year={2012},
  volume={119 10},
  pages={2205-8}
}
Case 1. Patient 1 is a 65-year-old plumber who presents with fatigue, headache, blurred vision, and intermittent nosebleeds for the past 3 months. Examination demonstrates mild generalized lymphadenopathy and a palpable spleen tip. The fundi show marked retinal vein engorgement with “sausaging.” Laboratory tests disclose mild anemia and a large monoclonal spike on serum protein electrophoresis. How should he be managed?