Pulmonary hypertension secondary to serum hyperviscosity in a patient with rheumatoid arthritis.

@article{Eaton1987PulmonaryHS,
  title={Pulmonary hypertension secondary to serum hyperviscosity in a patient with rheumatoid arthritis.},
  author={Annie Eaton and H Serota and G W Kernodle and John P. Uglietta and Jeffrey Crawford and W J Fulkerson},
  journal={The American journal of medicine},
  year={1987},
  volume={82 5},
  pages={1039-45}
}
A patient with rheumatoid arthritis who was evaluated for dyspnea of six months' duration is described. Although no primary cardiac or parenchymal lung disease was identified, right heart catheterization revealed marked pulmonary hypertension. The patient was presumed to have pulmonary arteritis. Evaluation of her hyperproteinemia, however, led to the discovery of a polyclonal gammopathy with a marked increase in plasma viscosity. Although the classic clinical findings of the hyperviscosity… CONTINUE READING